National Provider Identifier [NPI]: |
1508948183 |
Last Name Of The Provider |
SHUKLA |
First Name Of The Provider |
ALOK |
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 |
25779 KELLY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROSEVILLE |
Zip Code Of The Provider |
480664973 |
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 |
63 |
Number Of Services |
7173 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
786344 |
Total Medicare Allowed Amount |
565168.26 |
Total Medicare Payment Amount |
425244.96 |
Total Medicare Standardized Payment Amount |
415707.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
902 |
Number Of Medicare Beneficiaries With Drug Services |
243 |
Total Drug Submitted ChargeAmount |
12062 |
Total Drug Medicare AllowedAmount |
3977.1 |
Total Drug Medicare PaymentAmount |
3131.79 |
Total Drug Medicare Standardized Payment Amount |
3131.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
6271 |
Number Of Medicare Beneficiaries With Medical Services |
403 |
Total Medical Submitted Charge Amount |
774282 |
Total Medical Medicare Allowed Amount |
561191.16 |
Total Medical Medicare Payment Amount |
422113.17 |
Total Medical Medicare Standardized Payment Amount |
412576.02 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
227 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
308 |
Number Of Black or African American Beneficiaries |
81 |
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 |
296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
61 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9483 |