National Provider Identifier [NPI]: |
1710911334 |
Last Name Of The Provider |
BEDI |
First Name Of The Provider |
SURMEET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
630 W MAIN ST |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
451772170 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2428 |
Number Of Medicare Beneficiaries |
600 |
Total Submitted Charge Amount |
484782.75 |
Total Medicare Allowed Amount |
306885.23 |
Total Medicare Payment Amount |
230211.42 |
Total Medicare Standardized Payment Amount |
238310.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2428 |
Number Of Medicare Beneficiaries With Medical Services |
600 |
Total Medical Submitted Charge Amount |
484782.75 |
Total Medical Medicare Allowed Amount |
306885.23 |
Total Medical Medicare Payment Amount |
230211.42 |
Total Medical Medicare Standardized Payment Amount |
238310.56 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
342 |
Number Of Male Beneficiaries |
258 |
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
19 |
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 |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.2787 |