National Provider Identifier [NPI]: |
1376622092 |
Last Name Of The Provider |
KALRA |
First Name Of The Provider |
SANDEEP |
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 |
640 S WASHINGTON ST |
Street Address 2 Of The Provider |
STE 380 |
City Of The Provider |
NAPERVILLE |
Zip Code Of The Provider |
605406603 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
5239 |
Number Of Medicare Beneficiaries |
956 |
Total Submitted Charge Amount |
938282 |
Total Medicare Allowed Amount |
491716.76 |
Total Medicare Payment Amount |
373143.3 |
Total Medicare Standardized Payment Amount |
353603.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
239 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
6865 |
Total Drug Medicare AllowedAmount |
3399.46 |
Total Drug Medicare PaymentAmount |
2792.12 |
Total Drug Medicare Standardized Payment Amount |
2792.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5000 |
Number Of Medicare Beneficiaries With Medical Services |
956 |
Total Medical Submitted Charge Amount |
931417 |
Total Medical Medicare Allowed Amount |
488317.3 |
Total Medical Medicare Payment Amount |
370351.18 |
Total Medical Medicare Standardized Payment Amount |
350811.1 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
346 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
366 |
Number Of Non Hispanic White Beneficiaries |
764 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
58 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
321 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.2953 |