National Provider Identifier [NPI]: |
1720079247 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
HARISH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 SAM PERRY BLVD |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
FREDERICKSBURG |
Zip Code Of The Provider |
224018400 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
7599 |
Number Of Medicare Beneficiaries |
2138 |
Total Submitted Charge Amount |
2025576 |
Total Medicare Allowed Amount |
923399.67 |
Total Medicare Payment Amount |
695956.89 |
Total Medicare Standardized Payment Amount |
730400.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
875 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
45175 |
Total Drug Medicare AllowedAmount |
43329.26 |
Total Drug Medicare PaymentAmount |
32303.02 |
Total Drug Medicare Standardized Payment Amount |
32303.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
6724 |
Number Of Medicare Beneficiaries With Medical Services |
2138 |
Total Medical Submitted Charge Amount |
1980401 |
Total Medical Medicare Allowed Amount |
880070.41 |
Total Medical Medicare Payment Amount |
663653.87 |
Total Medical Medicare Standardized Payment Amount |
698097.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
905 |
Number Of Beneficiaries Age 75 to 84 |
712 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
1099 |
Number Of Male Beneficiaries |
1039 |
Number Of Non Hispanic White Beneficiaries |
1735 |
Number Of Black or African American Beneficiaries |
330 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1792 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
346 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6341 |