National Provider Identifier [NPI]: |
1194766121 |
Last Name Of The Provider |
TREHAN |
First Name Of The Provider |
SALIL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12 CARE CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791242118 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
16406 |
Number Of Medicare Beneficiaries |
1006 |
Total Submitted Charge Amount |
1100900.54 |
Total Medicare Allowed Amount |
521584.47 |
Total Medicare Payment Amount |
421444.01 |
Total Medicare Standardized Payment Amount |
427249.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1226 |
Number Of Medicare Beneficiaries With Drug Services |
418 |
Total Drug Submitted ChargeAmount |
76435 |
Total Drug Medicare AllowedAmount |
31768.5 |
Total Drug Medicare PaymentAmount |
29506.82 |
Total Drug Medicare Standardized Payment Amount |
29506.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
15180 |
Number Of Medicare Beneficiaries With Medical Services |
1006 |
Total Medical Submitted Charge Amount |
1024465.54 |
Total Medical Medicare Allowed Amount |
489815.97 |
Total Medical Medicare Payment Amount |
391937.19 |
Total Medical Medicare Standardized Payment Amount |
397742.19 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
199 |
Number Of Female Beneficiaries |
646 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
884 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2644 |