National Provider Identifier [NPI]: |
1548421332 |
Last Name Of The Provider |
CHAWLA |
First Name Of The Provider |
SONYA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3301 NEW MEXICO AVE NW |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200163622 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
427 |
Number Of Medicare Beneficiaries |
124 |
Total Submitted Charge Amount |
59535 |
Total Medicare Allowed Amount |
39415.75 |
Total Medicare Payment Amount |
30767.18 |
Total Medicare Standardized Payment Amount |
27815.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
2168 |
Total Drug Medicare AllowedAmount |
1867.6 |
Total Drug Medicare PaymentAmount |
1828.47 |
Total Drug Medicare Standardized Payment Amount |
1828.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
371 |
Number Of Medicare Beneficiaries With Medical Services |
124 |
Total Medical Submitted Charge Amount |
57367 |
Total Medical Medicare Allowed Amount |
37548.15 |
Total Medical Medicare Payment Amount |
28938.71 |
Total Medical Medicare Standardized Payment Amount |
25987.48 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
31 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
97 |
Number Of Male Beneficiaries |
27 |
Number Of Non Hispanic White Beneficiaries |
104 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
21 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8422 |