National Provider Identifier [NPI]: |
1023315843 |
Last Name Of The Provider |
AHLAWAT |
First Name Of The Provider |
SHIVANI |
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 |
111 MICHIGAN AVE NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200102916 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
1875 |
Number Of Medicare Beneficiaries |
1240 |
Total Submitted Charge Amount |
457512.5 |
Total Medicare Allowed Amount |
100751.79 |
Total Medicare Payment Amount |
76629.89 |
Total Medicare Standardized Payment Amount |
72872.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1178.5 |
Total Drug Medicare AllowedAmount |
10.77 |
Total Drug Medicare PaymentAmount |
8.42 |
Total Drug Medicare Standardized Payment Amount |
8.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
1861 |
Number Of Medicare Beneficiaries With Medical Services |
1240 |
Total Medical Submitted Charge Amount |
456334 |
Total Medical Medicare Allowed Amount |
100741.02 |
Total Medical Medicare Payment Amount |
76621.47 |
Total Medical Medicare Standardized Payment Amount |
72864.28 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
365 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
547 |
Number Of Non Hispanic White Beneficiaries |
791 |
Number Of Black or African American Beneficiaries |
378 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
891 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9694 |