National Provider Identifier [NPI]: |
1255594248 |
Last Name Of The Provider |
BHANDARI |
First Name Of The Provider |
RAMANATH |
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 |
1025 S 6TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
627032403 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
10072 |
Number Of Medicare Beneficiaries |
703 |
Total Submitted Charge Amount |
3433572.57 |
Total Medicare Allowed Amount |
3118710.61 |
Total Medicare Payment Amount |
2424599.13 |
Total Medicare Standardized Payment Amount |
2441950.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4202 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
2875149.45 |
Total Drug Medicare AllowedAmount |
2625841.97 |
Total Drug Medicare PaymentAmount |
2047639.78 |
Total Drug Medicare Standardized Payment Amount |
2047639.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
5870 |
Number Of Medicare Beneficiaries With Medical Services |
703 |
Total Medical Submitted Charge Amount |
558423.12 |
Total Medical Medicare Allowed Amount |
492868.64 |
Total Medical Medicare Payment Amount |
376959.35 |
Total Medical Medicare Standardized Payment Amount |
394310.92 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
232 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
665 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
607 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.381 |