National Provider Identifier [NPI]: |
1124029426 |
Last Name Of The Provider |
SINHA |
First Name Of The Provider |
SHANTANU |
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 |
618 PLEASANTVILLE RD |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
431303312 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5663 |
Number Of Medicare Beneficiaries |
1226 |
Total Submitted Charge Amount |
2086362.46 |
Total Medicare Allowed Amount |
1028994.74 |
Total Medicare Payment Amount |
784834.54 |
Total Medicare Standardized Payment Amount |
830216.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
580 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
145000 |
Total Drug Medicare AllowedAmount |
30709.09 |
Total Drug Medicare PaymentAmount |
23950.8 |
Total Drug Medicare Standardized Payment Amount |
23950.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
5083 |
Number Of Medicare Beneficiaries With Medical Services |
1226 |
Total Medical Submitted Charge Amount |
1941362.46 |
Total Medical Medicare Allowed Amount |
998285.65 |
Total Medical Medicare Payment Amount |
760883.74 |
Total Medical Medicare Standardized Payment Amount |
806265.21 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
264 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
619 |
Number Of Male Beneficiaries |
607 |
Number Of Non Hispanic White Beneficiaries |
1200 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
415 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7393 |