National Provider Identifier [NPI]: |
1790787331 |
Last Name Of The Provider |
OHRI |
First Name Of The Provider |
ARUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W TALCOTT AVE |
Street Address 2 Of The Provider |
SUITE 209 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606313745 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
5884 |
Number Of Medicare Beneficiaries |
1312 |
Total Submitted Charge Amount |
1854059 |
Total Medicare Allowed Amount |
739106.53 |
Total Medicare Payment Amount |
562059.18 |
Total Medicare Standardized Payment Amount |
506542.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
488 |
Number Of Medicare Beneficiaries With Drug Services |
384 |
Total Drug Submitted ChargeAmount |
13295 |
Total Drug Medicare AllowedAmount |
648.82 |
Total Drug Medicare PaymentAmount |
497.52 |
Total Drug Medicare Standardized Payment Amount |
497.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5396 |
Number Of Medicare Beneficiaries With Medical Services |
1312 |
Total Medical Submitted Charge Amount |
1840764 |
Total Medical Medicare Allowed Amount |
738457.71 |
Total Medical Medicare Payment Amount |
561561.66 |
Total Medical Medicare Standardized Payment Amount |
506044.6 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
438 |
Number Of Beneficiaries Age Greater 84 |
311 |
Number Of Female Beneficiaries |
786 |
Number Of Male Beneficiaries |
526 |
Number Of Non Hispanic White Beneficiaries |
1072 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1033 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8366 |