National Provider Identifier [NPI]: |
1205808151 |
Last Name Of The Provider |
CHAKRABARTY |
First Name Of The Provider |
ALAKANANDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
101 HAKES ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COAL TOWNSHIP |
Zip Code Of The Provider |
178663829 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
7434 |
Number Of Medicare Beneficiaries |
544 |
Total Submitted Charge Amount |
545899.3 |
Total Medicare Allowed Amount |
411097.87 |
Total Medicare Payment Amount |
310058.56 |
Total Medicare Standardized Payment Amount |
322898.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1850 |
Number Of Medicare Beneficiaries With Drug Services |
293 |
Total Drug Submitted ChargeAmount |
45823.5 |
Total Drug Medicare AllowedAmount |
34639.6 |
Total Drug Medicare PaymentAmount |
29326.9 |
Total Drug Medicare Standardized Payment Amount |
29326.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5584 |
Number Of Medicare Beneficiaries With Medical Services |
544 |
Total Medical Submitted Charge Amount |
500075.8 |
Total Medical Medicare Allowed Amount |
376458.27 |
Total Medical Medicare Payment Amount |
280731.66 |
Total Medical Medicare Standardized Payment Amount |
293572.05 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
358 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
31 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3582 |