National Provider Identifier [NPI]: |
1336160290 |
Last Name Of The Provider |
NATESAN |
First Name Of The Provider |
USHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1415 S DIVISION ST STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALISBURY |
Zip Code Of The Provider |
218047232 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5955 |
Number Of Medicare Beneficiaries |
1427 |
Total Submitted Charge Amount |
739429.02 |
Total Medicare Allowed Amount |
523667.21 |
Total Medicare Payment Amount |
392209.85 |
Total Medicare Standardized Payment Amount |
385302.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
5036.5 |
Total Drug Medicare AllowedAmount |
3568.35 |
Total Drug Medicare PaymentAmount |
3320.25 |
Total Drug Medicare Standardized Payment Amount |
3320.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5794 |
Number Of Medicare Beneficiaries With Medical Services |
1427 |
Total Medical Submitted Charge Amount |
734392.52 |
Total Medical Medicare Allowed Amount |
520098.86 |
Total Medical Medicare Payment Amount |
388889.6 |
Total Medical Medicare Standardized Payment Amount |
381981.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
435 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1040 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
1134 |
Number Of Black or African American Beneficiaries |
265 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1088 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
339 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.6784 |