National Provider Identifier [NPI]: |
1255336244 |
Last Name Of The Provider |
BHULLAR-BAL |
First Name Of The Provider |
RAMNEET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2092 COWAN HWY |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
373982446 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1605 |
Number Of Medicare Beneficiaries |
338 |
Total Submitted Charge Amount |
165577.5 |
Total Medicare Allowed Amount |
93131.19 |
Total Medicare Payment Amount |
64669.75 |
Total Medicare Standardized Payment Amount |
73496.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
453 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
4866 |
Total Drug Medicare AllowedAmount |
1947.29 |
Total Drug Medicare PaymentAmount |
1491.78 |
Total Drug Medicare Standardized Payment Amount |
1491.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
1152 |
Number Of Medicare Beneficiaries With Medical Services |
338 |
Total Medical Submitted Charge Amount |
160711.5 |
Total Medical Medicare Allowed Amount |
91183.9 |
Total Medical Medicare Payment Amount |
63177.97 |
Total Medical Medicare Standardized Payment Amount |
72004.7 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
324 |
Number Of Black or African American Beneficiaries |
|
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 |
222 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5666 |