National Provider Identifier [NPI]: |
1114947900 |
Last Name Of The Provider |
SINHA |
First Name Of The Provider |
SUMAN |
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 |
2602 SAINT MICHAEL DR |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
TEXARKANA |
Zip Code Of The Provider |
755032387 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3439 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
729204 |
Total Medicare Allowed Amount |
319102.84 |
Total Medicare Payment Amount |
245654.7 |
Total Medicare Standardized Payment Amount |
258402.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
285 |
Total Drug Medicare AllowedAmount |
188.82 |
Total Drug Medicare PaymentAmount |
183.98 |
Total Drug Medicare Standardized Payment Amount |
183.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3424 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
728919 |
Total Medical Medicare Allowed Amount |
318914.02 |
Total Medical Medicare Payment Amount |
245470.72 |
Total Medical Medicare Standardized Payment Amount |
258218.88 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
367 |
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 |
304 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
70 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8647 |