| National Provider Identifier [NPI]: | 1881695096 |
| Last Name Of The Provider | BHATT |
| First Name Of The Provider | MINA |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD,PA |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 103 TOMOKA BLVD S |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKE PLACID |
| Zip Code Of The Provider | 338528123 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 6685 |
| Number Of Medicare Beneficiaries | 789 |
| Total Submitted Charge Amount | 487893 |
| Total Medicare Allowed Amount | 444523.88 |
| Total Medicare Payment Amount | 338824.88 |
| Total Medicare Standardized Payment Amount | 340582.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 385 |
| Number Of Medicare Beneficiaries With Drug Services | 353 |
| Total Drug Submitted ChargeAmount | 9536 |
| Total Drug Medicare AllowedAmount | 9207.74 |
| Total Drug Medicare PaymentAmount | 9006.47 |
| Total Drug Medicare Standardized Payment Amount | 9006.47 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 54 |
| Number Of Medical Services | 6300 |
| Number Of Medicare Beneficiaries With Medical Services | 789 |
| Total Medical Submitted Charge Amount | 478357 |
| Total Medical Medicare Allowed Amount | 435316.14 |
| Total Medical Medicare Payment Amount | 329818.41 |
| Total Medical Medicare Standardized Payment Amount | 331576.05 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 36 |
| Number Of Beneficiaries Age 65 to 74 | 230 |
| Number Of Beneficiaries Age 75 to 84 | 326 |
| Number Of Beneficiaries Age Greater 84 | 197 |
| Number Of Female Beneficiaries | 522 |
| Number Of Male Beneficiaries | 267 |
| Number Of Non Hispanic White Beneficiaries | 749 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 711 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 78 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2285 |