National Provider Identifier [NPI]: |
1497778229 |
Last Name Of The Provider |
CHADHA |
First Name Of The Provider |
PUNIT |
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 |
4101 JAMES CASEY ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787453325 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
315241 |
Number Of Medicare Beneficiaries |
814 |
Total Submitted Charge Amount |
17798491 |
Total Medicare Allowed Amount |
5088315.99 |
Total Medicare Payment Amount |
3983509.31 |
Total Medicare Standardized Payment Amount |
3966276.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
83 |
Number Of Drug Services |
281845 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
12311431 |
Total Drug Medicare AllowedAmount |
3615285.65 |
Total Drug Medicare PaymentAmount |
2813621.46 |
Total Drug Medicare Standardized Payment Amount |
2813621.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
33396 |
Number Of Medicare Beneficiaries With Medical Services |
814 |
Total Medical Submitted Charge Amount |
5487060 |
Total Medical Medicare Allowed Amount |
1473030.34 |
Total Medical Medicare Payment Amount |
1169887.85 |
Total Medical Medicare Standardized Payment Amount |
1152654.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
146 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8647 |