National Provider Identifier [NPI]: |
1457355729 |
Last Name Of The Provider |
CHANDER |
First Name Of The Provider |
RAVI |
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 |
289 PLEASANT ST |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027213005 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
5631 |
Number Of Medicare Beneficiaries |
1483 |
Total Submitted Charge Amount |
1581451.83 |
Total Medicare Allowed Amount |
443994.78 |
Total Medicare Payment Amount |
335985.38 |
Total Medicare Standardized Payment Amount |
328147.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
324 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
16036 |
Total Drug Medicare AllowedAmount |
9805.79 |
Total Drug Medicare PaymentAmount |
7687.77 |
Total Drug Medicare Standardized Payment Amount |
7687.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
5307 |
Number Of Medicare Beneficiaries With Medical Services |
1483 |
Total Medical Submitted Charge Amount |
1565415.83 |
Total Medical Medicare Allowed Amount |
434188.99 |
Total Medical Medicare Payment Amount |
328297.61 |
Total Medical Medicare Standardized Payment Amount |
320459.49 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
286 |
Number Of Beneficiaries Age 65 to 74 |
449 |
Number Of Beneficiaries Age 75 to 84 |
437 |
Number Of Beneficiaries Age Greater 84 |
311 |
Number Of Female Beneficiaries |
767 |
Number Of Male Beneficiaries |
716 |
Number Of Non Hispanic White Beneficiaries |
1349 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
940 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
543 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7493 |