National Provider Identifier [NPI]: |
1962463570 |
Last Name Of The Provider |
CHOPRA |
First Name Of The Provider |
HERSH |
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 |
653 CHEROKEE ST NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300608911 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5796.5 |
Number Of Medicare Beneficiaries |
1367 |
Total Submitted Charge Amount |
1642156 |
Total Medicare Allowed Amount |
769283.61 |
Total Medicare Payment Amount |
550573.29 |
Total Medicare Standardized Payment Amount |
562080.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
57.5 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
3975 |
Total Drug Medicare AllowedAmount |
3133.19 |
Total Drug Medicare PaymentAmount |
2456.41 |
Total Drug Medicare Standardized Payment Amount |
2456.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5739 |
Number Of Medicare Beneficiaries With Medical Services |
1367 |
Total Medical Submitted Charge Amount |
1638181 |
Total Medical Medicare Allowed Amount |
766150.42 |
Total Medical Medicare Payment Amount |
548116.88 |
Total Medical Medicare Standardized Payment Amount |
559623.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
627 |
Number Of Beneficiaries Age 75 to 84 |
498 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
825 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
168 |
Number Of AsianPacific Islander Beneficiaries |
40 |
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 |
1214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1491 |