National Provider Identifier [NPI]: |
1770509523 |
Last Name Of The Provider |
BHATIA |
First Name Of The Provider |
BELA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
630 GREYSTONE PARK NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303245285 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
5959 |
Number Of Medicare Beneficiaries |
2576 |
Total Submitted Charge Amount |
569829 |
Total Medicare Allowed Amount |
143278.83 |
Total Medicare Payment Amount |
106745.63 |
Total Medicare Standardized Payment Amount |
109251.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1950 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
4300 |
Total Drug Medicare AllowedAmount |
452.07 |
Total Drug Medicare PaymentAmount |
354.39 |
Total Drug Medicare Standardized Payment Amount |
354.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
178 |
Number Of Medical Services |
4009 |
Number Of Medicare Beneficiaries With Medical Services |
2574 |
Total Medical Submitted Charge Amount |
565529 |
Total Medical Medicare Allowed Amount |
142826.76 |
Total Medical Medicare Payment Amount |
106391.24 |
Total Medical Medicare Standardized Payment Amount |
108896.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
311 |
Number Of Beneficiaries Age 65 to 74 |
880 |
Number Of Beneficiaries Age 75 to 84 |
818 |
Number Of Beneficiaries Age Greater 84 |
567 |
Number Of Female Beneficiaries |
1410 |
Number Of Male Beneficiaries |
1166 |
Number Of Non Hispanic White Beneficiaries |
2100 |
Number Of Black or African American Beneficiaries |
309 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2164 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
412 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8584 |