National Provider Identifier [NPI]: |
1639129182 |
Last Name Of The Provider |
BHAT |
First Name Of The Provider |
SALIGRAMA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3410 TAMIAMI TRAIL |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
33952 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
18537 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
1276945.42 |
Total Medicare Allowed Amount |
1099248.62 |
Total Medicare Payment Amount |
859176.66 |
Total Medicare Standardized Payment Amount |
864740.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
5819 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
170341.52 |
Total Drug Medicare AllowedAmount |
147672.28 |
Total Drug Medicare PaymentAmount |
117204.29 |
Total Drug Medicare Standardized Payment Amount |
117204.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
12718 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
1106603.9 |
Total Medical Medicare Allowed Amount |
951576.34 |
Total Medical Medicare Payment Amount |
741972.37 |
Total Medical Medicare Standardized Payment Amount |
747536.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
357 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
543 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
469 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
65 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1765 |