National Provider Identifier [NPI]: |
1740288943 |
Last Name Of The Provider |
CHOPRA |
First Name Of The Provider |
SHREEKANT |
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 |
830 OAK ST |
Street Address 2 Of The Provider |
125E |
City Of The Provider |
BROCKTON |
Zip Code Of The Provider |
023011168 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
8369 |
Number Of Medicare Beneficiaries |
825 |
Total Submitted Charge Amount |
1091055 |
Total Medicare Allowed Amount |
545073.8 |
Total Medicare Payment Amount |
421628.21 |
Total Medicare Standardized Payment Amount |
409624.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4711 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
94220 |
Total Drug Medicare AllowedAmount |
54006.78 |
Total Drug Medicare PaymentAmount |
42343.81 |
Total Drug Medicare Standardized Payment Amount |
42343.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3658 |
Number Of Medicare Beneficiaries With Medical Services |
825 |
Total Medical Submitted Charge Amount |
996835 |
Total Medical Medicare Allowed Amount |
491067.02 |
Total Medical Medicare Payment Amount |
379284.4 |
Total Medical Medicare Standardized Payment Amount |
367280.72 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
383 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
665 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
528 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.1704 |