National Provider Identifier [NPI]: |
1932131554 |
Last Name Of The Provider |
SINGLA |
First Name Of The Provider |
RAJ |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 39TH ST |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
PORT ARTHUR |
Zip Code Of The Provider |
776425517 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3126 |
Number Of Medicare Beneficiaries |
862 |
Total Submitted Charge Amount |
756800 |
Total Medicare Allowed Amount |
358982.98 |
Total Medicare Payment Amount |
259256.06 |
Total Medicare Standardized Payment Amount |
277435.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
37800 |
Total Drug Medicare AllowedAmount |
8323.62 |
Total Drug Medicare PaymentAmount |
6237.92 |
Total Drug Medicare Standardized Payment Amount |
6237.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3000 |
Number Of Medicare Beneficiaries With Medical Services |
862 |
Total Medical Submitted Charge Amount |
719000 |
Total Medical Medicare Allowed Amount |
350659.36 |
Total Medical Medicare Payment Amount |
253018.14 |
Total Medical Medicare Standardized Payment Amount |
271197.44 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
308 |
Number Of Non Hispanic White Beneficiaries |
551 |
Number Of Black or African American Beneficiaries |
216 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
675 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4508 |