National Provider Identifier [NPI]: |
1487863304 |
Last Name Of The Provider |
CHAWLA |
First Name Of The Provider |
JANE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6204 BALCONES DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787314214 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
33675 |
Number Of Medicare Beneficiaries |
251 |
Total Submitted Charge Amount |
2130530 |
Total Medicare Allowed Amount |
660967.76 |
Total Medicare Payment Amount |
508197.56 |
Total Medicare Standardized Payment Amount |
506675.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
29322 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1562186 |
Total Drug Medicare AllowedAmount |
499497.05 |
Total Drug Medicare PaymentAmount |
381217.14 |
Total Drug Medicare Standardized Payment Amount |
381217.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
4353 |
Number Of Medicare Beneficiaries With Medical Services |
251 |
Total Medical Submitted Charge Amount |
568344 |
Total Medical Medicare Allowed Amount |
161470.71 |
Total Medical Medicare Payment Amount |
126980.42 |
Total Medical Medicare Standardized Payment Amount |
125458.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
105 |
Number Of Non Hispanic White Beneficiaries |
185 |
Number Of Black or African American Beneficiaries |
32 |
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 |
219 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2935 |