National Provider Identifier [NPI]: |
1295838464 |
Last Name Of The Provider |
SEKAR |
First Name Of The Provider |
THOMANDRAM |
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 |
2910 LAKE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WAYNE |
Zip Code Of The Provider |
468055416 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
5138 |
Number Of Medicare Beneficiaries |
814 |
Total Submitted Charge Amount |
897447 |
Total Medicare Allowed Amount |
370314.82 |
Total Medicare Payment Amount |
279595.32 |
Total Medicare Standardized Payment Amount |
302788.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5138 |
Number Of Medicare Beneficiaries With Medical Services |
814 |
Total Medical Submitted Charge Amount |
897447 |
Total Medical Medicare Allowed Amount |
370314.82 |
Total Medical Medicare Payment Amount |
279595.32 |
Total Medical Medicare Standardized Payment Amount |
302788.73 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
210 |
Number Of Beneficiaries Age 65 to 74 |
351 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
440 |
Number Of Non Hispanic White Beneficiaries |
684 |
Number Of Black or African American Beneficiaries |
97 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
580 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
234 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7596 |