National Provider Identifier [NPI]: |
1407007982 |
Last Name Of The Provider |
MALHOTRA |
First Name Of The Provider |
NITIN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5020 W BRISTOL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485072919 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
11705 |
Number Of Medicare Beneficiaries |
1710 |
Total Submitted Charge Amount |
1851192 |
Total Medicare Allowed Amount |
777164.11 |
Total Medicare Payment Amount |
604545.46 |
Total Medicare Standardized Payment Amount |
633686.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
8003 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
8078 |
Total Drug Medicare AllowedAmount |
1517.27 |
Total Drug Medicare PaymentAmount |
1189.42 |
Total Drug Medicare Standardized Payment Amount |
1189.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
3702 |
Number Of Medicare Beneficiaries With Medical Services |
1710 |
Total Medical Submitted Charge Amount |
1843114 |
Total Medical Medicare Allowed Amount |
775646.84 |
Total Medical Medicare Payment Amount |
603356.04 |
Total Medical Medicare Standardized Payment Amount |
632497.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
447 |
Number Of Beneficiaries Age 65 to 74 |
502 |
Number Of Beneficiaries Age 75 to 84 |
517 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
874 |
Number Of Male Beneficiaries |
836 |
Number Of Non Hispanic White Beneficiaries |
1239 |
Number Of Black or African American Beneficiaries |
418 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
493 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.7795 |