National Provider Identifier [NPI]: |
1619986940 |
Last Name Of The Provider |
KAPADIA |
First Name Of The Provider |
ATUL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2296 OPITZ BLVD STE 330 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODBRIDGE |
Zip Code Of The Provider |
221913346 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
4794 |
Number Of Medicare Beneficiaries |
731 |
Total Submitted Charge Amount |
475906 |
Total Medicare Allowed Amount |
352645.43 |
Total Medicare Payment Amount |
245573.68 |
Total Medicare Standardized Payment Amount |
243292.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
347 |
Number Of Medicare Beneficiaries With Drug Services |
336 |
Total Drug Submitted ChargeAmount |
11100 |
Total Drug Medicare AllowedAmount |
5952 |
Total Drug Medicare PaymentAmount |
5828.18 |
Total Drug Medicare Standardized Payment Amount |
5828.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4447 |
Number Of Medicare Beneficiaries With Medical Services |
731 |
Total Medical Submitted Charge Amount |
464806 |
Total Medical Medicare Allowed Amount |
346693.43 |
Total Medical Medicare Payment Amount |
239745.5 |
Total Medical Medicare Standardized Payment Amount |
237463.86 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
714 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0509 |