National Provider Identifier [NPI]: |
1104810191 |
Last Name Of The Provider |
NAGAR |
First Name Of The Provider |
CHARULATHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3545 LAKE AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WILMETTE |
Zip Code Of The Provider |
600911058 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
6630 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
413381 |
Total Medicare Allowed Amount |
138834.25 |
Total Medicare Payment Amount |
103318.27 |
Total Medicare Standardized Payment Amount |
98775.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
5720 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
81560 |
Total Drug Medicare AllowedAmount |
31377.44 |
Total Drug Medicare PaymentAmount |
24363.61 |
Total Drug Medicare Standardized Payment Amount |
24363.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
910 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
331821 |
Total Medical Medicare Allowed Amount |
107456.81 |
Total Medical Medicare Payment Amount |
78954.66 |
Total Medical Medicare Standardized Payment Amount |
74411.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.2439 |