National Provider Identifier [NPI]: |
1730169806 |
Last Name Of The Provider |
CHANDRASEKARAN |
First Name Of The Provider |
KRISHNASWAMY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595404 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2256 |
Number Of Medicare Beneficiaries |
1184 |
Total Submitted Charge Amount |
162603.13 |
Total Medicare Allowed Amount |
118012.88 |
Total Medicare Payment Amount |
88439.74 |
Total Medicare Standardized Payment Amount |
95058.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1094.76 |
Total Drug Medicare AllowedAmount |
1061.43 |
Total Drug Medicare PaymentAmount |
672.19 |
Total Drug Medicare Standardized Payment Amount |
672.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2236 |
Number Of Medicare Beneficiaries With Medical Services |
1184 |
Total Medical Submitted Charge Amount |
161508.37 |
Total Medical Medicare Allowed Amount |
116951.45 |
Total Medical Medicare Payment Amount |
87767.55 |
Total Medical Medicare Standardized Payment Amount |
94386.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
435 |
Number Of Beneficiaries Age Greater 84 |
190 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
679 |
Number Of Non Hispanic White Beneficiaries |
1097 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7834 |