National Provider Identifier [NPI]: |
1336295674 |
Last Name Of The Provider |
CHAND |
First Name Of The Provider |
PRATAP |
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 |
3635 VISTA AVE |
Street Address 2 Of The Provider |
ST LOUIS UNIVERSITY HOSPITAL |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631102539 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
17481 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
377818.09 |
Total Medicare Allowed Amount |
215227.54 |
Total Medicare Payment Amount |
163125.12 |
Total Medicare Standardized Payment Amount |
164605.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
16450 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
189625 |
Total Drug Medicare AllowedAmount |
90228.1 |
Total Drug Medicare PaymentAmount |
70700.4 |
Total Drug Medicare Standardized Payment Amount |
70700.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1031 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
188193.09 |
Total Medical Medicare Allowed Amount |
124999.44 |
Total Medical Medicare Payment Amount |
92424.72 |
Total Medical Medicare Standardized Payment Amount |
93905.09 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
95 |
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 |
244 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.0572 |