National Provider Identifier [NPI]: |
1205942836 |
Last Name Of The Provider |
CHOWDHARY |
First Name Of The Provider |
HARJINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12 CASE ST |
Street Address 2 Of The Provider |
212 |
City Of The Provider |
NORWICH |
Zip Code Of The Provider |
063602222 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
1990 |
Number Of Medicare Beneficiaries |
553 |
Total Submitted Charge Amount |
289875 |
Total Medicare Allowed Amount |
181591.65 |
Total Medicare Payment Amount |
129655.81 |
Total Medicare Standardized Payment Amount |
122602.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
2215 |
Total Drug Medicare AllowedAmount |
574.03 |
Total Drug Medicare PaymentAmount |
424.78 |
Total Drug Medicare Standardized Payment Amount |
424.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
1842 |
Number Of Medicare Beneficiaries With Medical Services |
553 |
Total Medical Submitted Charge Amount |
287660 |
Total Medical Medicare Allowed Amount |
181017.62 |
Total Medical Medicare Payment Amount |
129231.03 |
Total Medical Medicare Standardized Payment Amount |
122177.49 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
482 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4372 |