National Provider Identifier [NPI]: |
1972705838 |
Last Name Of The Provider |
CHANDANA |
First Name Of The Provider |
SREENIVASA |
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 |
200 N PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
KALAMAZOO |
Zip Code Of The Provider |
490073731 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
178460 |
Number Of Medicare Beneficiaries |
934 |
Total Submitted Charge Amount |
13853774 |
Total Medicare Allowed Amount |
3461925.77 |
Total Medicare Payment Amount |
2713575.05 |
Total Medicare Standardized Payment Amount |
2720753.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
167563 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
9835926 |
Total Drug Medicare AllowedAmount |
2567143.4 |
Total Drug Medicare PaymentAmount |
2009382.74 |
Total Drug Medicare Standardized Payment Amount |
2009382.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
10897 |
Number Of Medicare Beneficiaries With Medical Services |
934 |
Total Medical Submitted Charge Amount |
4017848 |
Total Medical Medicare Allowed Amount |
894782.37 |
Total Medical Medicare Payment Amount |
704192.31 |
Total Medical Medicare Standardized Payment Amount |
711370.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
486 |
Number Of Male Beneficiaries |
448 |
Number Of Non Hispanic White Beneficiaries |
845 |
Number Of Black or African American Beneficiaries |
61 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0558 |