National Provider Identifier [NPI]: |
1467459412 |
Last Name Of The Provider |
THAKUR |
First Name Of The Provider |
ANAND |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15945 19 MILE RD |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
CLINTON TOWNSHIP |
Zip Code Of The Provider |
480381147 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2550 |
Number Of Medicare Beneficiaries |
236 |
Total Submitted Charge Amount |
782738.97 |
Total Medicare Allowed Amount |
209484.23 |
Total Medicare Payment Amount |
160984.82 |
Total Medicare Standardized Payment Amount |
159143.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
704 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
3390.97 |
Total Drug Medicare AllowedAmount |
1783.99 |
Total Drug Medicare PaymentAmount |
1384.88 |
Total Drug Medicare Standardized Payment Amount |
1384.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1846 |
Number Of Medicare Beneficiaries With Medical Services |
236 |
Total Medical Submitted Charge Amount |
779348 |
Total Medical Medicare Allowed Amount |
207700.24 |
Total Medical Medicare Payment Amount |
159599.94 |
Total Medical Medicare Standardized Payment Amount |
157758.87 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
136 |
Number Of Male Beneficiaries |
100 |
Number Of Non Hispanic White Beneficiaries |
206 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
149 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9129 |