National Provider Identifier [NPI]: |
1285816017 |
Last Name Of The Provider |
VOHRA-KHULLAR |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1525 CLIFTON RD NE |
Street Address 2 Of The Provider |
4TH FLOOR |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303224200 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
847 |
Number Of Medicare Beneficiaries |
425 |
Total Submitted Charge Amount |
187491 |
Total Medicare Allowed Amount |
69387.36 |
Total Medicare Payment Amount |
49287.61 |
Total Medicare Standardized Payment Amount |
49465.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
15836 |
Total Drug Medicare AllowedAmount |
3633.54 |
Total Drug Medicare PaymentAmount |
3522.15 |
Total Drug Medicare Standardized Payment Amount |
3522.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
767 |
Number Of Medicare Beneficiaries With Medical Services |
425 |
Total Medical Submitted Charge Amount |
171655 |
Total Medical Medicare Allowed Amount |
65753.82 |
Total Medical Medicare Payment Amount |
45765.46 |
Total Medical Medicare Standardized Payment Amount |
45943.17 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
137 |
Number Of Black or African American Beneficiaries |
266 |
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 |
245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3867 |