National Provider Identifier [NPI]: |
1427145895 |
Last Name Of The Provider |
DHINGRA |
First Name Of The Provider |
RAMESH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
675 W NORTH AVENUE |
Street Address 2 Of The Provider |
SUITE 501 |
City Of The Provider |
MELROSE PARK |
Zip Code Of The Provider |
60160 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
8741 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
1689010 |
Total Medicare Allowed Amount |
775239.06 |
Total Medicare Payment Amount |
603039.17 |
Total Medicare Standardized Payment Amount |
435049.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
274 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
7360 |
Total Drug Medicare AllowedAmount |
1913.32 |
Total Drug Medicare PaymentAmount |
1792.29 |
Total Drug Medicare Standardized Payment Amount |
1792.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
8467 |
Number Of Medicare Beneficiaries With Medical Services |
904 |
Total Medical Submitted Charge Amount |
1681650 |
Total Medical Medicare Allowed Amount |
773325.74 |
Total Medical Medicare Payment Amount |
601246.88 |
Total Medical Medicare Standardized Payment Amount |
433256.73 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
198 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
121 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3982 |