National Provider Identifier [NPI]: |
1780608836 |
Last Name Of The Provider |
KHANNA |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2949 BRIGHTON 4 ST. |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKLYN |
Zip Code Of The Provider |
112358511 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
7723 |
Number Of Medicare Beneficiaries |
3103 |
Total Submitted Charge Amount |
1080948 |
Total Medicare Allowed Amount |
296577.85 |
Total Medicare Payment Amount |
227046.84 |
Total Medicare Standardized Payment Amount |
200652.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1050 |
Total Drug Medicare AllowedAmount |
509.04 |
Total Drug Medicare PaymentAmount |
498.89 |
Total Drug Medicare Standardized Payment Amount |
498.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
7681 |
Number Of Medicare Beneficiaries With Medical Services |
3103 |
Total Medical Submitted Charge Amount |
1079898 |
Total Medical Medicare Allowed Amount |
296068.81 |
Total Medical Medicare Payment Amount |
226547.95 |
Total Medical Medicare Standardized Payment Amount |
200153.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
434 |
Number Of Beneficiaries Age 65 to 74 |
741 |
Number Of Beneficiaries Age 75 to 84 |
1000 |
Number Of Beneficiaries Age Greater 84 |
928 |
Number Of Female Beneficiaries |
1777 |
Number Of Male Beneficiaries |
1326 |
Number Of Non Hispanic White Beneficiaries |
2171 |
Number Of Black or African American Beneficiaries |
329 |
Number Of AsianPacific Islander Beneficiaries |
179 |
Number Of Hispanic Beneficiaries |
265 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2445 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.3643 |