National Provider Identifier [NPI]: |
1467478727 |
Last Name Of The Provider |
DHAWAN |
First Name Of The Provider |
RAJNISH |
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 |
300 MEDICAL PKWY STE 208 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHESAPEAKE |
Zip Code Of The Provider |
233204985 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3845 |
Number Of Medicare Beneficiaries |
911 |
Total Submitted Charge Amount |
896066 |
Total Medicare Allowed Amount |
450948.66 |
Total Medicare Payment Amount |
340965.44 |
Total Medicare Standardized Payment Amount |
352464.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
4650 |
Total Drug Medicare AllowedAmount |
2434.09 |
Total Drug Medicare PaymentAmount |
2366.3 |
Total Drug Medicare Standardized Payment Amount |
2366.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3768 |
Number Of Medicare Beneficiaries With Medical Services |
911 |
Total Medical Submitted Charge Amount |
891416 |
Total Medical Medicare Allowed Amount |
448514.57 |
Total Medical Medicare Payment Amount |
338599.14 |
Total Medical Medicare Standardized Payment Amount |
350098.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
369 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
690 |
Number Of Black or African American Beneficiaries |
186 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
785 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
59 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9723 |