National Provider Identifier [NPI]: |
1558596429 |
Last Name Of The Provider |
SINGLA |
First Name Of The Provider |
PUNEET |
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 |
1055 MEDICAL PARK DR SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495463607 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
3228 |
Number Of Medicare Beneficiaries |
379 |
Total Submitted Charge Amount |
173000.5 |
Total Medicare Allowed Amount |
129292.5 |
Total Medicare Payment Amount |
93713.12 |
Total Medicare Standardized Payment Amount |
99650.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1817 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
12137.5 |
Total Drug Medicare AllowedAmount |
9523.63 |
Total Drug Medicare PaymentAmount |
7296.95 |
Total Drug Medicare Standardized Payment Amount |
7296.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1411 |
Number Of Medicare Beneficiaries With Medical Services |
379 |
Total Medical Submitted Charge Amount |
160863 |
Total Medical Medicare Allowed Amount |
119768.87 |
Total Medical Medicare Payment Amount |
86416.17 |
Total Medical Medicare Standardized Payment Amount |
92353.26 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
46 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4334 |