National Provider Identifier [NPI]: |
1558357905 |
Last Name Of The Provider |
CHUNDI |
First Name Of The Provider |
VISHNU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2923 N CALIFORNIA AVE |
Street Address 2 Of The Provider |
STE 220 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606187702 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
41670 |
Number Of Medicare Beneficiaries |
1339 |
Total Submitted Charge Amount |
1658158.9 |
Total Medicare Allowed Amount |
808390.53 |
Total Medicare Payment Amount |
616862.75 |
Total Medicare Standardized Payment Amount |
595701.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
37659 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
688752.3 |
Total Drug Medicare AllowedAmount |
344676.49 |
Total Drug Medicare PaymentAmount |
259423.99 |
Total Drug Medicare Standardized Payment Amount |
259423.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4011 |
Number Of Medicare Beneficiaries With Medical Services |
1339 |
Total Medical Submitted Charge Amount |
969406.6 |
Total Medical Medicare Allowed Amount |
463714.04 |
Total Medical Medicare Payment Amount |
357438.76 |
Total Medical Medicare Standardized Payment Amount |
336277.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
359 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
688 |
Number Of Male Beneficiaries |
651 |
Number Of Non Hispanic White Beneficiaries |
684 |
Number Of Black or African American Beneficiaries |
347 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
796 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
67 |
Percent Of With Chronic Kidney Disease |
68 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.6603 |