National Provider Identifier [NPI]: |
1942363254 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
LOKESH |
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 |
10718 S EWING AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606176605 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
12063 |
Number Of Medicare Beneficiaries |
1983 |
Total Submitted Charge Amount |
2305586.56 |
Total Medicare Allowed Amount |
805824.26 |
Total Medicare Payment Amount |
610870.65 |
Total Medicare Standardized Payment Amount |
582533.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4164 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
214450 |
Total Drug Medicare AllowedAmount |
12336.26 |
Total Drug Medicare PaymentAmount |
9692.39 |
Total Drug Medicare Standardized Payment Amount |
9692.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
7899 |
Number Of Medicare Beneficiaries With Medical Services |
1983 |
Total Medical Submitted Charge Amount |
2091136.56 |
Total Medical Medicare Allowed Amount |
793488 |
Total Medical Medicare Payment Amount |
601178.26 |
Total Medical Medicare Standardized Payment Amount |
572841.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
410 |
Number Of Beneficiaries Age 65 to 74 |
635 |
Number Of Beneficiaries Age 75 to 84 |
605 |
Number Of Beneficiaries Age Greater 84 |
333 |
Number Of Female Beneficiaries |
1186 |
Number Of Male Beneficiaries |
797 |
Number Of Non Hispanic White Beneficiaries |
467 |
Number Of Black or African American Beneficiaries |
1356 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
139 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1081 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
902 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.4836 |