National Provider Identifier [NPI]: |
1356324800 |
Last Name Of The Provider |
CHEEMA |
First Name Of The Provider |
JUGESH |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 W COLUMBIA ST |
Street Address 2 Of The Provider |
SUITE 420 |
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477101782 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
9030 |
Number Of Medicare Beneficiaries |
5563 |
Total Submitted Charge Amount |
851999.6 |
Total Medicare Allowed Amount |
231578.16 |
Total Medicare Payment Amount |
173690.14 |
Total Medicare Standardized Payment Amount |
183323.11 |
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 |
163 |
Number Of Medical Services |
9030 |
Number Of Medicare Beneficiaries With Medical Services |
5563 |
Total Medical Submitted Charge Amount |
851999.6 |
Total Medical Medicare Allowed Amount |
231578.16 |
Total Medical Medicare Payment Amount |
173690.14 |
Total Medical Medicare Standardized Payment Amount |
183323.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1086 |
Number Of Beneficiaries Age 65 to 74 |
2039 |
Number Of Beneficiaries Age 75 to 84 |
1563 |
Number Of Beneficiaries Age Greater 84 |
875 |
Number Of Female Beneficiaries |
3186 |
Number Of Male Beneficiaries |
2377 |
Number Of Non Hispanic White Beneficiaries |
5235 |
Number Of Black or African American Beneficiaries |
253 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
4144 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1419 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5775 |