National Provider Identifier [NPI]: |
1548471071 |
Last Name Of The Provider |
SAHU |
First Name Of The Provider |
JOYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
833 CHESTNUT ST |
Street Address 2 Of The Provider |
STE 740 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191074414 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
4561 |
Number Of Medicare Beneficiaries |
2163 |
Total Submitted Charge Amount |
689820 |
Total Medicare Allowed Amount |
339329.91 |
Total Medicare Payment Amount |
258513.56 |
Total Medicare Standardized Payment Amount |
204233.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
4315 |
Total Drug Medicare AllowedAmount |
3417.96 |
Total Drug Medicare PaymentAmount |
2679.64 |
Total Drug Medicare Standardized Payment Amount |
2679.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4544 |
Number Of Medicare Beneficiaries With Medical Services |
2163 |
Total Medical Submitted Charge Amount |
685505 |
Total Medical Medicare Allowed Amount |
335911.95 |
Total Medical Medicare Payment Amount |
255833.92 |
Total Medical Medicare Standardized Payment Amount |
201554.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
1048 |
Number Of Beneficiaries Age 75 to 84 |
705 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
1130 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
1975 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2009 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1061 |