National Provider Identifier [NPI]: |
1174691604 |
Last Name Of The Provider |
BATCHU |
First Name Of The Provider |
MADHU |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2600 W CENTRE AVE |
Street Address 2 Of The Provider |
BOX 42 |
City Of The Provider |
PORTAGE |
Zip Code Of The Provider |
490244828 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1060 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
125514 |
Total Medicare Allowed Amount |
85227.42 |
Total Medicare Payment Amount |
59086.93 |
Total Medicare Standardized Payment Amount |
62827.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
4107 |
Total Drug Medicare AllowedAmount |
3241.16 |
Total Drug Medicare PaymentAmount |
3172.53 |
Total Drug Medicare Standardized Payment Amount |
3172.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
946 |
Number Of Medicare Beneficiaries With Medical Services |
283 |
Total Medical Submitted Charge Amount |
121407 |
Total Medical Medicare Allowed Amount |
81986.26 |
Total Medical Medicare Payment Amount |
55914.4 |
Total Medical Medicare Standardized Payment Amount |
59654.67 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1432 |