National Provider Identifier [NPI]: |
1770782419 |
Last Name Of The Provider |
CHANDOKE |
First Name Of The Provider |
ATUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8261 CORNELL RD |
Street Address 2 Of The Provider |
SUITE 630 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452492830 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
5730 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
994818.94 |
Total Medicare Allowed Amount |
259050.43 |
Total Medicare Payment Amount |
204594.73 |
Total Medicare Standardized Payment Amount |
204396.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2725 |
Number Of Medicare Beneficiaries With Drug Services |
223 |
Total Drug Submitted ChargeAmount |
45769.54 |
Total Drug Medicare AllowedAmount |
5094.84 |
Total Drug Medicare PaymentAmount |
3591.48 |
Total Drug Medicare Standardized Payment Amount |
3591.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3005 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
949049.4 |
Total Medical Medicare Allowed Amount |
253955.59 |
Total Medical Medicare Payment Amount |
201003.25 |
Total Medical Medicare Standardized Payment Amount |
200804.57 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
329 |
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 |
278 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.559 |