National Provider Identifier [NPI]: |
1194763870 |
Last Name Of The Provider |
CHAUDRY |
First Name Of The Provider |
IMRAN |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3100 FORSYTHE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONROE |
Zip Code Of The Provider |
712013014 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
5618.4 |
Number Of Medicare Beneficiaries |
1113 |
Total Submitted Charge Amount |
1666448.74 |
Total Medicare Allowed Amount |
877480.38 |
Total Medicare Payment Amount |
679107.31 |
Total Medicare Standardized Payment Amount |
763699.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1720.4 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
8182.9 |
Total Drug Medicare AllowedAmount |
4828.29 |
Total Drug Medicare PaymentAmount |
3785.35 |
Total Drug Medicare Standardized Payment Amount |
3785.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
3898 |
Number Of Medicare Beneficiaries With Medical Services |
1113 |
Total Medical Submitted Charge Amount |
1658265.84 |
Total Medical Medicare Allowed Amount |
872652.09 |
Total Medical Medicare Payment Amount |
675321.96 |
Total Medical Medicare Standardized Payment Amount |
759913.83 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
241 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
666 |
Number Of Male Beneficiaries |
447 |
Number Of Non Hispanic White Beneficiaries |
669 |
Number Of Black or African American Beneficiaries |
422 |
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 |
507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
606 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7281 |