National Provider Identifier [NPI]: |
1861591356 |
Last Name Of The Provider |
VYAS |
First Name Of The Provider |
AMIT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD SC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2315 E 93RD ST |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606173936 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
9719 |
Number Of Medicare Beneficiaries |
2380 |
Total Submitted Charge Amount |
2294420 |
Total Medicare Allowed Amount |
611489.3 |
Total Medicare Payment Amount |
474816.36 |
Total Medicare Standardized Payment Amount |
454224.14 |
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 |
50 |
Number Of Medical Services |
9719 |
Number Of Medicare Beneficiaries With Medical Services |
2380 |
Total Medical Submitted Charge Amount |
2294420 |
Total Medical Medicare Allowed Amount |
611489.3 |
Total Medical Medicare Payment Amount |
474816.36 |
Total Medical Medicare Standardized Payment Amount |
454224.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
495 |
Number Of Beneficiaries Age 65 to 74 |
681 |
Number Of Beneficiaries Age 75 to 84 |
744 |
Number Of Beneficiaries Age Greater 84 |
460 |
Number Of Female Beneficiaries |
1421 |
Number Of Male Beneficiaries |
959 |
Number Of Non Hispanic White Beneficiaries |
646 |
Number Of Black or African American Beneficiaries |
1513 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
205 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1105 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.6008 |