National Provider Identifier [NPI]: |
1003845694 |
Last Name Of The Provider |
CHOPRA |
First Name Of The Provider |
SHAILENDRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 S BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405042701 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
120700 |
Number Of Medicare Beneficiaries |
5069 |
Total Submitted Charge Amount |
4257003 |
Total Medicare Allowed Amount |
1048007.16 |
Total Medicare Payment Amount |
774225.86 |
Total Medicare Standardized Payment Amount |
871025.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
112134 |
Number Of Medicare Beneficiaries With Drug Services |
1044 |
Total Drug Submitted ChargeAmount |
521055 |
Total Drug Medicare AllowedAmount |
22953.07 |
Total Drug Medicare PaymentAmount |
16377.15 |
Total Drug Medicare Standardized Payment Amount |
16377.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
8566 |
Number Of Medicare Beneficiaries With Medical Services |
5066 |
Total Medical Submitted Charge Amount |
3735948 |
Total Medical Medicare Allowed Amount |
1025054.09 |
Total Medical Medicare Payment Amount |
757848.71 |
Total Medical Medicare Standardized Payment Amount |
854648.65 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
821 |
Number Of Beneficiaries Age 65 to 74 |
2106 |
Number Of Beneficiaries Age 75 to 84 |
1548 |
Number Of Beneficiaries Age Greater 84 |
594 |
Number Of Female Beneficiaries |
3019 |
Number Of Male Beneficiaries |
2050 |
Number Of Non Hispanic White Beneficiaries |
4714 |
Number Of Black or African American Beneficiaries |
254 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
4215 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
854 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2072 |