National Provider Identifier [NPI]: |
1033177282 |
Last Name Of The Provider |
CHAUDHARY |
First Name Of The Provider |
HALEEM |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6480 HARRISON AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452477961 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3764 |
Number Of Medicare Beneficiaries |
595 |
Total Submitted Charge Amount |
1494897 |
Total Medicare Allowed Amount |
419755.53 |
Total Medicare Payment Amount |
316688.73 |
Total Medicare Standardized Payment Amount |
328602 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1118 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
35253 |
Total Drug Medicare AllowedAmount |
17922.54 |
Total Drug Medicare PaymentAmount |
13996.89 |
Total Drug Medicare Standardized Payment Amount |
13996.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2646 |
Number Of Medicare Beneficiaries With Medical Services |
595 |
Total Medical Submitted Charge Amount |
1459644 |
Total Medical Medicare Allowed Amount |
401832.99 |
Total Medical Medicare Payment Amount |
302691.84 |
Total Medical Medicare Standardized Payment Amount |
314605.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
372 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
551 |
Number Of Black or African American Beneficiaries |
28 |
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 |
552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9829 |