National Provider Identifier [NPI]: |
1477584399 |
Last Name Of The Provider |
ALAPPATT |
First Name Of The Provider |
CHACKO |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1515 SOUTH BREIEL BOULEVARD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDDLETOWN |
Zip Code Of The Provider |
450449023 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
9053 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
638664.1 |
Total Medicare Allowed Amount |
370435.08 |
Total Medicare Payment Amount |
274638.16 |
Total Medicare Standardized Payment Amount |
283163.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
6918 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
307199 |
Total Drug Medicare AllowedAmount |
179765.45 |
Total Drug Medicare PaymentAmount |
140417.03 |
Total Drug Medicare Standardized Payment Amount |
140417.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2135 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
331465.1 |
Total Medical Medicare Allowed Amount |
190669.63 |
Total Medical Medicare Payment Amount |
134221.13 |
Total Medical Medicare Standardized Payment Amount |
142746.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
603 |
Number Of Black or African American Beneficiaries |
33 |
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 |
560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2757 |