National Provider Identifier [NPI]: |
1528057288 |
Last Name Of The Provider |
ALAY |
First Name Of The Provider |
ROHINI |
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 |
1720 GUNBARREL RD |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374213192 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
1395 |
Number Of Medicare Beneficiaries |
221 |
Total Submitted Charge Amount |
112457.37 |
Total Medicare Allowed Amount |
66469.99 |
Total Medicare Payment Amount |
48500.22 |
Total Medicare Standardized Payment Amount |
52099.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
152 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
3862.01 |
Total Drug Medicare AllowedAmount |
1270.75 |
Total Drug Medicare PaymentAmount |
1213.85 |
Total Drug Medicare Standardized Payment Amount |
1213.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1243 |
Number Of Medicare Beneficiaries With Medical Services |
221 |
Total Medical Submitted Charge Amount |
108595.36 |
Total Medical Medicare Allowed Amount |
65199.24 |
Total Medical Medicare Payment Amount |
47286.37 |
Total Medical Medicare Standardized Payment Amount |
50885.45 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
136 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
164 |
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 |
121 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4444 |