National Provider Identifier [NPI]: |
1770778607 |
Last Name Of The Provider |
CHAUDHRY |
First Name Of The Provider |
FARIHA |
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 |
2525 S MICHIGAN AVE |
Street Address 2 Of The Provider |
SUITE 817 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606162315 |
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 |
18 |
Number Of Services |
1244 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
224986 |
Total Medicare Allowed Amount |
153097.01 |
Total Medicare Payment Amount |
115870.96 |
Total Medicare Standardized Payment Amount |
108129.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
1244 |
Number Of Medicare Beneficiaries With Medical Services |
591 |
Total Medical Submitted Charge Amount |
224986 |
Total Medical Medicare Allowed Amount |
153097.01 |
Total Medical Medicare Payment Amount |
115870.96 |
Total Medical Medicare Standardized Payment Amount |
108129.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
375 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
104 |
Number Of Black or African American Beneficiaries |
394 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
36 |
Average HCC Risk Score Of Beneficiaries |
2.2871 |