National Provider Identifier [NPI]: |
1467475616 |
Last Name Of The Provider |
ARORA |
First Name Of The Provider |
PRATHEEP |
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 |
1605 N UNION BLVD |
Street Address 2 Of The Provider |
#200 |
City Of The Provider |
COLORADO SPRINGS |
Zip Code Of The Provider |
809092811 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
8652 |
Number Of Medicare Beneficiaries |
920 |
Total Submitted Charge Amount |
1143843.67 |
Total Medicare Allowed Amount |
600452.96 |
Total Medicare Payment Amount |
439925.39 |
Total Medicare Standardized Payment Amount |
439425.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
257 |
Number Of Medicare Beneficiaries With Drug Services |
246 |
Total Drug Submitted ChargeAmount |
9115 |
Total Drug Medicare AllowedAmount |
4319.74 |
Total Drug Medicare PaymentAmount |
4232.24 |
Total Drug Medicare Standardized Payment Amount |
4232.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
8395 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
1134728.67 |
Total Medical Medicare Allowed Amount |
596133.22 |
Total Medical Medicare Payment Amount |
435693.15 |
Total Medical Medicare Standardized Payment Amount |
435193.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
400 |
Number Of Non Hispanic White Beneficiaries |
633 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
106 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7669 |