National Provider Identifier [NPI]: |
1144480989 |
Last Name Of The Provider |
BHARARA |
First Name Of The Provider |
NITEESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1831 WIEHLE AVE STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
RESTON |
Zip Code Of The Provider |
201905200 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4441 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
981905 |
Total Medicare Allowed Amount |
226619.36 |
Total Medicare Payment Amount |
173228.97 |
Total Medicare Standardized Payment Amount |
137264.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2970 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
34073 |
Total Drug Medicare AllowedAmount |
12259.31 |
Total Drug Medicare PaymentAmount |
9568 |
Total Drug Medicare Standardized Payment Amount |
9568 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1471 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
947832 |
Total Medical Medicare Allowed Amount |
214360.05 |
Total Medical Medicare Payment Amount |
163660.97 |
Total Medical Medicare Standardized Payment Amount |
127696.55 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1667 |