National Provider Identifier [NPI]: |
1497799217 |
Last Name Of The Provider |
ATTAVAR |
First Name Of The Provider |
PREETI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 BLUEGRASS AVE |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402151144 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
5005 |
Number Of Medicare Beneficiaries |
1789 |
Total Submitted Charge Amount |
610930 |
Total Medicare Allowed Amount |
329878.46 |
Total Medicare Payment Amount |
253176.37 |
Total Medicare Standardized Payment Amount |
255862.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5005 |
Number Of Medicare Beneficiaries With Medical Services |
1789 |
Total Medical Submitted Charge Amount |
610930 |
Total Medical Medicare Allowed Amount |
329878.46 |
Total Medical Medicare Payment Amount |
253176.37 |
Total Medical Medicare Standardized Payment Amount |
255862.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
364 |
Number Of Beneficiaries Age 65 to 74 |
520 |
Number Of Beneficiaries Age 75 to 84 |
555 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1068 |
Number Of Male Beneficiaries |
721 |
Number Of Non Hispanic White Beneficiaries |
1549 |
Number Of Black or African American Beneficiaries |
206 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
502 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0101 |