National Provider Identifier [NPI]: |
1073608899 |
Last Name Of The Provider |
BHAT |
First Name Of The Provider |
ANNAPURNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
145 N PARK TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
STOCKBRIDGE |
Zip Code Of The Provider |
302817373 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
38326 |
Number Of Medicare Beneficiaries |
456 |
Total Submitted Charge Amount |
3308928.04 |
Total Medicare Allowed Amount |
1324105.45 |
Total Medicare Payment Amount |
969563.23 |
Total Medicare Standardized Payment Amount |
983710.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
30962 |
Number Of Medicare Beneficiaries With Drug Services |
268 |
Total Drug Submitted ChargeAmount |
2316547 |
Total Drug Medicare AllowedAmount |
867408.15 |
Total Drug Medicare PaymentAmount |
631229.94 |
Total Drug Medicare Standardized Payment Amount |
631229.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
7364 |
Number Of Medicare Beneficiaries With Medical Services |
456 |
Total Medical Submitted Charge Amount |
992381.04 |
Total Medical Medicare Allowed Amount |
456697.3 |
Total Medical Medicare Payment Amount |
338333.29 |
Total Medical Medicare Standardized Payment Amount |
352481.02 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
278 |
Number Of Black or African American Beneficiaries |
158 |
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 |
349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
48 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4084 |