National Provider Identifier [NPI]: |
1699794727 |
Last Name Of The Provider |
SACHDEV |
First Name Of The Provider |
SHEELMOHAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
118 NORTH ST |
Street Address 2 Of The Provider |
STE 38 |
City Of The Provider |
ELKTON |
Zip Code Of The Provider |
21921 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4098 |
Number Of Medicare Beneficiaries |
897 |
Total Submitted Charge Amount |
447932 |
Total Medicare Allowed Amount |
325507.24 |
Total Medicare Payment Amount |
239574.69 |
Total Medicare Standardized Payment Amount |
237892.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
5398 |
Total Drug Medicare AllowedAmount |
2766.87 |
Total Drug Medicare PaymentAmount |
2597.64 |
Total Drug Medicare Standardized Payment Amount |
2597.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3910 |
Number Of Medicare Beneficiaries With Medical Services |
897 |
Total Medical Submitted Charge Amount |
442534 |
Total Medical Medicare Allowed Amount |
322740.37 |
Total Medical Medicare Payment Amount |
236977.05 |
Total Medical Medicare Standardized Payment Amount |
235295.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
298 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
820 |
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 |
652 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9935 |