National Provider Identifier [NPI]: |
1134339286 |
Last Name Of The Provider |
AHUJA |
First Name Of The Provider |
MOHIT |
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 |
1010 LAKELAND SQUARE EXT |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
FLOWOOD |
Zip Code Of The Provider |
392327607 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3774 |
Number Of Medicare Beneficiaries |
656 |
Total Submitted Charge Amount |
1021949 |
Total Medicare Allowed Amount |
330725.28 |
Total Medicare Payment Amount |
252970.45 |
Total Medicare Standardized Payment Amount |
267906.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1378 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
35826 |
Total Drug Medicare AllowedAmount |
15778.33 |
Total Drug Medicare PaymentAmount |
11699.02 |
Total Drug Medicare Standardized Payment Amount |
11699.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2396 |
Number Of Medicare Beneficiaries With Medical Services |
656 |
Total Medical Submitted Charge Amount |
986123 |
Total Medical Medicare Allowed Amount |
314946.95 |
Total Medical Medicare Payment Amount |
241271.43 |
Total Medical Medicare Standardized Payment Amount |
256207.59 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
328 |
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 |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
4.3545 |