National Provider Identifier [NPI]: |
1932128097 |
Last Name Of The Provider |
ACHARYA |
First Name Of The Provider |
SHEETAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1414 W FAIR AVE STE 332 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARQUETTE |
Zip Code Of The Provider |
498555407 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
45179 |
Number Of Medicare Beneficiaries |
380 |
Total Submitted Charge Amount |
1767285 |
Total Medicare Allowed Amount |
1142116.34 |
Total Medicare Payment Amount |
889945.55 |
Total Medicare Standardized Payment Amount |
890819.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
58 |
Number Of Drug Services |
42451 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
1391080 |
Total Drug Medicare AllowedAmount |
994455.64 |
Total Drug Medicare PaymentAmount |
779019.18 |
Total Drug Medicare Standardized Payment Amount |
779019.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2728 |
Number Of Medicare Beneficiaries With Medical Services |
379 |
Total Medical Submitted Charge Amount |
376205 |
Total Medical Medicare Allowed Amount |
147660.7 |
Total Medical Medicare Payment Amount |
110926.37 |
Total Medical Medicare Standardized Payment Amount |
111800.68 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
368 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
56 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5773 |