National Provider Identifier [NPI]: |
1801853171 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
SUMEET |
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 |
2290 W EAU GALLIE BLVD |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329353145 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
173397 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
4375052.89 |
Total Medicare Allowed Amount |
2032049.74 |
Total Medicare Payment Amount |
1575497.27 |
Total Medicare Standardized Payment Amount |
1570891.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
168016 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
3742911.29 |
Total Drug Medicare AllowedAmount |
1683378.77 |
Total Drug Medicare PaymentAmount |
1311201.14 |
Total Drug Medicare Standardized Payment Amount |
1311201.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5381 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
632141.6 |
Total Medical Medicare Allowed Amount |
348670.97 |
Total Medical Medicare Payment Amount |
264296.13 |
Total Medical Medicare Standardized Payment Amount |
259690.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
542 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
570 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0603 |