National Provider Identifier [NPI]: |
1891797379 |
Last Name Of The Provider |
VOHRA |
First Name Of The Provider |
VIJAY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W TALCOTT AVE |
Street Address 2 Of The Provider |
SUITE 222 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606313745 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
8518 |
Number Of Medicare Beneficiaries |
2346 |
Total Submitted Charge Amount |
1762362.01 |
Total Medicare Allowed Amount |
785859.07 |
Total Medicare Payment Amount |
584376 |
Total Medicare Standardized Payment Amount |
553107.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
31248 |
Total Drug Medicare AllowedAmount |
16556.09 |
Total Drug Medicare PaymentAmount |
12987.21 |
Total Drug Medicare Standardized Payment Amount |
12987.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
8204 |
Number Of Medicare Beneficiaries With Medical Services |
2346 |
Total Medical Submitted Charge Amount |
1731114.01 |
Total Medical Medicare Allowed Amount |
769302.98 |
Total Medical Medicare Payment Amount |
571388.79 |
Total Medical Medicare Standardized Payment Amount |
540119.81 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
601 |
Number Of Beneficiaries Age 75 to 84 |
838 |
Number Of Beneficiaries Age Greater 84 |
784 |
Number Of Female Beneficiaries |
1358 |
Number Of Male Beneficiaries |
988 |
Number Of Non Hispanic White Beneficiaries |
2153 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
102 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
2035 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
311 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6829 |