National Provider Identifier [NPI]: |
1245232958 |
Last Name Of The Provider |
GUPTA |
First Name Of The Provider |
ARUN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20050 HARVARD AVE |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
WARRENSVILLE HEIGHTS |
Zip Code Of The Provider |
441226816 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
7347 |
Number Of Medicare Beneficiaries |
1400 |
Total Submitted Charge Amount |
817689 |
Total Medicare Allowed Amount |
485448.35 |
Total Medicare Payment Amount |
368637.06 |
Total Medicare Standardized Payment Amount |
378519.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2645 |
Total Drug Medicare AllowedAmount |
1840.06 |
Total Drug Medicare PaymentAmount |
1803.15 |
Total Drug Medicare Standardized Payment Amount |
1803.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
7287 |
Number Of Medicare Beneficiaries With Medical Services |
1400 |
Total Medical Submitted Charge Amount |
815044 |
Total Medical Medicare Allowed Amount |
483608.29 |
Total Medical Medicare Payment Amount |
366833.91 |
Total Medical Medicare Standardized Payment Amount |
376716.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
341 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
389 |
Number Of Beneficiaries Age Greater 84 |
294 |
Number Of Female Beneficiaries |
804 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
352 |
Number Of Black or African American Beneficiaries |
1008 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
721 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
679 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.692 |