National Provider Identifier [NPI]: |
1659310761 |
Last Name Of The Provider |
SHAH |
First Name Of The Provider |
APURVA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1285 UPPER HEMBREE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROSWELL |
Zip Code Of The Provider |
300761143 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3265 |
Number Of Medicare Beneficiaries |
915 |
Total Submitted Charge Amount |
994539 |
Total Medicare Allowed Amount |
325464.99 |
Total Medicare Payment Amount |
248439.66 |
Total Medicare Standardized Payment Amount |
253067.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
434 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
46956 |
Total Drug Medicare AllowedAmount |
18721.15 |
Total Drug Medicare PaymentAmount |
14677.43 |
Total Drug Medicare Standardized Payment Amount |
14677.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2831 |
Number Of Medicare Beneficiaries With Medical Services |
915 |
Total Medical Submitted Charge Amount |
947583 |
Total Medical Medicare Allowed Amount |
306743.84 |
Total Medical Medicare Payment Amount |
233762.23 |
Total Medical Medicare Standardized Payment Amount |
238390.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
290 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
436 |
Number Of Non Hispanic White Beneficiaries |
836 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
841 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.322 |