National Provider Identifier [NPI]: |
1417060666 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
SUNIL |
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 |
4108 WATERMELON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHPORT |
Zip Code Of The Provider |
354735130 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
19075 |
Number Of Medicare Beneficiaries |
1682 |
Total Submitted Charge Amount |
1378942 |
Total Medicare Allowed Amount |
858236.47 |
Total Medicare Payment Amount |
650873.43 |
Total Medicare Standardized Payment Amount |
601421.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3767 |
Number Of Medicare Beneficiaries With Drug Services |
490 |
Total Drug Submitted ChargeAmount |
64717 |
Total Drug Medicare AllowedAmount |
12104.21 |
Total Drug Medicare PaymentAmount |
11014.45 |
Total Drug Medicare Standardized Payment Amount |
11014.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
15308 |
Number Of Medicare Beneficiaries With Medical Services |
1682 |
Total Medical Submitted Charge Amount |
1314225 |
Total Medical Medicare Allowed Amount |
846132.26 |
Total Medical Medicare Payment Amount |
639858.98 |
Total Medical Medicare Standardized Payment Amount |
590406.97 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
349 |
Number Of Beneficiaries Age 65 to 74 |
651 |
Number Of Beneficiaries Age 75 to 84 |
471 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
964 |
Number Of Male Beneficiaries |
718 |
Number Of Non Hispanic White Beneficiaries |
1108 |
Number Of Black or African American Beneficiaries |
549 |
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 |
1229 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
453 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6386 |