National Provider Identifier [NPI]: |
1760623193 |
Last Name Of The Provider |
SUNDHAR |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2309 E EVESHAM RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080431559 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
57020 |
Number Of Medicare Beneficiaries |
609 |
Total Submitted Charge Amount |
1782071.83 |
Total Medicare Allowed Amount |
1430580.63 |
Total Medicare Payment Amount |
1100281.52 |
Total Medicare Standardized Payment Amount |
1084436.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
54659 |
Number Of Medicare Beneficiaries With Drug Services |
338 |
Total Drug Submitted ChargeAmount |
1428579.83 |
Total Drug Medicare AllowedAmount |
1212713.28 |
Total Drug Medicare PaymentAmount |
938586.28 |
Total Drug Medicare Standardized Payment Amount |
938586.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2361 |
Number Of Medicare Beneficiaries With Medical Services |
609 |
Total Medical Submitted Charge Amount |
353492 |
Total Medical Medicare Allowed Amount |
217867.35 |
Total Medical Medicare Payment Amount |
161695.24 |
Total Medical Medicare Standardized Payment Amount |
145850.59 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
510 |
Number Of Black or African American Beneficiaries |
57 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
31 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2184 |