National Provider Identifier [NPI]: |
1710055637 |
Last Name Of The Provider |
HEMACHANDRA |
First Name Of The Provider |
SARATH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
43740 N GROESBECK HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLINTON TOWNSHIP |
Zip Code Of The Provider |
480361139 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2226 |
Number Of Medicare Beneficiaries |
216 |
Total Submitted Charge Amount |
173475.61 |
Total Medicare Allowed Amount |
100342.95 |
Total Medicare Payment Amount |
73506.02 |
Total Medicare Standardized Payment Amount |
71633.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
985 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
8825.83 |
Total Drug Medicare AllowedAmount |
8425.1 |
Total Drug Medicare PaymentAmount |
6323.72 |
Total Drug Medicare Standardized Payment Amount |
6323.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
1241 |
Number Of Medicare Beneficiaries With Medical Services |
216 |
Total Medical Submitted Charge Amount |
164649.78 |
Total Medical Medicare Allowed Amount |
91917.85 |
Total Medical Medicare Payment Amount |
67182.3 |
Total Medical Medicare Standardized Payment Amount |
65309.64 |
Average Age Of Beneficiaries |
49 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
85 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
187 |
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 |
25 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
59 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
37 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
68 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1321 |