National Provider Identifier [NPI]: |
1831181619 |
Last Name Of The Provider |
CHANDRA |
First Name Of The Provider |
RENJINI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10777 NALL AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
OVERLAND PARK |
Zip Code Of The Provider |
662111231 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
3533 |
Number Of Medicare Beneficiaries |
200 |
Total Submitted Charge Amount |
303651.25 |
Total Medicare Allowed Amount |
117723.21 |
Total Medicare Payment Amount |
87592.37 |
Total Medicare Standardized Payment Amount |
90751.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2439 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
53180.25 |
Total Drug Medicare AllowedAmount |
30653.44 |
Total Drug Medicare PaymentAmount |
23194.18 |
Total Drug Medicare Standardized Payment Amount |
23194.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1094 |
Number Of Medicare Beneficiaries With Medical Services |
200 |
Total Medical Submitted Charge Amount |
250471 |
Total Medical Medicare Allowed Amount |
87069.77 |
Total Medical Medicare Payment Amount |
64398.19 |
Total Medical Medicare Standardized Payment Amount |
67556.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
178 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1725 |