National Provider Identifier [NPI]: |
1013174523 |
Last Name Of The Provider |
SOHAGIA |
First Name Of The Provider |
KINJAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
732 THIMBLE SHOALS BLVD |
Street Address 2 Of The Provider |
SUITE 801-A |
City Of The Provider |
NEWPORT NEWS |
Zip Code Of The Provider |
236064218 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
5967 |
Number Of Medicare Beneficiaries |
459 |
Total Submitted Charge Amount |
909223.04 |
Total Medicare Allowed Amount |
326883.08 |
Total Medicare Payment Amount |
243984.91 |
Total Medicare Standardized Payment Amount |
237722.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3083 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
37329.04 |
Total Drug Medicare AllowedAmount |
7075.98 |
Total Drug Medicare PaymentAmount |
5424.08 |
Total Drug Medicare Standardized Payment Amount |
5424.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2884 |
Number Of Medicare Beneficiaries With Medical Services |
459 |
Total Medical Submitted Charge Amount |
871894 |
Total Medical Medicare Allowed Amount |
319807.1 |
Total Medical Medicare Payment Amount |
238560.83 |
Total Medical Medicare Standardized Payment Amount |
232298.87 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
287 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
372 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1933 |