National Provider Identifier [NPI]: |
1760698484 |
Last Name Of The Provider |
CHANDER |
First Name Of The Provider |
THILAK |
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 |
511 ASHMUN ST |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SAULT SAINTE MARIE |
Zip Code Of The Provider |
497831960 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
6869 |
Number Of Medicare Beneficiaries |
1002 |
Total Submitted Charge Amount |
796189.47 |
Total Medicare Allowed Amount |
396796.12 |
Total Medicare Payment Amount |
302443.39 |
Total Medicare Standardized Payment Amount |
305896.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
225 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
10396 |
Total Drug Medicare AllowedAmount |
8329.03 |
Total Drug Medicare PaymentAmount |
8151.68 |
Total Drug Medicare Standardized Payment Amount |
8151.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6644 |
Number Of Medicare Beneficiaries With Medical Services |
1002 |
Total Medical Submitted Charge Amount |
785793.47 |
Total Medical Medicare Allowed Amount |
388467.09 |
Total Medical Medicare Payment Amount |
294291.71 |
Total Medical Medicare Standardized Payment Amount |
297744.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
880 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
108 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6661 |