National Provider Identifier [NPI]: |
1447462809 |
Last Name Of The Provider |
BHATT |
First Name Of The Provider |
HARIT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6320 W 159TH STREET |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
OAK FOREST |
Zip Code Of The Provider |
60452 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2479 |
Number Of Medicare Beneficiaries |
392 |
Total Submitted Charge Amount |
1099998 |
Total Medicare Allowed Amount |
484011.33 |
Total Medicare Payment Amount |
367050.57 |
Total Medicare Standardized Payment Amount |
347591.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
182 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
101230 |
Total Drug Medicare AllowedAmount |
91153.32 |
Total Drug Medicare PaymentAmount |
71003.08 |
Total Drug Medicare Standardized Payment Amount |
71003.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2297 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
998768 |
Total Medical Medicare Allowed Amount |
392858.01 |
Total Medical Medicare Payment Amount |
296047.49 |
Total Medical Medicare Standardized Payment Amount |
276588.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
205 |
Number Of Black or African American Beneficiaries |
128 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5265 |