National Provider Identifier [NPI]: |
1225042872 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
ARUNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2051 W GRAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DETROIT |
Zip Code Of The Provider |
482081105 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
4174 |
Number Of Medicare Beneficiaries |
344 |
Total Submitted Charge Amount |
132756.5 |
Total Medicare Allowed Amount |
108837.14 |
Total Medicare Payment Amount |
80758.95 |
Total Medicare Standardized Payment Amount |
79277.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2129 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
27071.5 |
Total Drug Medicare AllowedAmount |
22151.29 |
Total Drug Medicare PaymentAmount |
16971.55 |
Total Drug Medicare Standardized Payment Amount |
16971.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
2045 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
105685 |
Total Medical Medicare Allowed Amount |
86685.85 |
Total Medical Medicare Payment Amount |
63787.4 |
Total Medical Medicare Standardized Payment Amount |
62306.38 |
Average Age Of Beneficiaries |
49 |
Number Of Beneficiaries Age Less65 |
313 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
196 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
49 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
295 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
63 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
64 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2998 |