National Provider Identifier [NPI]: |
1447308440 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
RAVINDER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17193 WAYSIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUMFRIES |
Zip Code Of The Provider |
220262766 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1091 |
Number Of Medicare Beneficiaries |
141 |
Total Submitted Charge Amount |
91241 |
Total Medicare Allowed Amount |
69974.97 |
Total Medicare Payment Amount |
49409.61 |
Total Medicare Standardized Payment Amount |
50450.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
1241 |
Total Drug Medicare AllowedAmount |
764.89 |
Total Drug Medicare PaymentAmount |
623.21 |
Total Drug Medicare Standardized Payment Amount |
623.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
895 |
Number Of Medicare Beneficiaries With Medical Services |
141 |
Total Medical Submitted Charge Amount |
90000 |
Total Medical Medicare Allowed Amount |
69210.08 |
Total Medical Medicare Payment Amount |
48786.4 |
Total Medical Medicare Standardized Payment Amount |
49827.58 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
28 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
82 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
77 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8417 |