National Provider Identifier [NPI]: |
1144470063 |
Last Name Of The Provider |
KSHATRIYA |
First Name Of The Provider |
SHILPA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
551 N. HILLSIDE |
Street Address 2 Of The Provider |
STE 410 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672144927 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4753 |
Number Of Medicare Beneficiaries |
1224 |
Total Submitted Charge Amount |
1000496.2 |
Total Medicare Allowed Amount |
383751.72 |
Total Medicare Payment Amount |
289355.81 |
Total Medicare Standardized Payment Amount |
308067.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
592 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
52085.2 |
Total Drug Medicare AllowedAmount |
11732.14 |
Total Drug Medicare PaymentAmount |
9197.92 |
Total Drug Medicare Standardized Payment Amount |
9197.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4161 |
Number Of Medicare Beneficiaries With Medical Services |
1224 |
Total Medical Submitted Charge Amount |
948411 |
Total Medical Medicare Allowed Amount |
372019.58 |
Total Medical Medicare Payment Amount |
280157.89 |
Total Medical Medicare Standardized Payment Amount |
298869.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
406 |
Number Of Beneficiaries Age Greater 84 |
232 |
Number Of Female Beneficiaries |
710 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1104 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9486 |