National Provider Identifier [NPI]: |
1952470080 |
Last Name Of The Provider |
MANSHARAMANI |
First Name Of The Provider |
NARESH |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1030 PRESIDENT AVE |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027205923 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4234 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
703433 |
Total Medicare Allowed Amount |
287624.44 |
Total Medicare Payment Amount |
222839.44 |
Total Medicare Standardized Payment Amount |
218763.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1821 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
55045 |
Total Drug Medicare AllowedAmount |
47581.98 |
Total Drug Medicare PaymentAmount |
37433.96 |
Total Drug Medicare Standardized Payment Amount |
37433.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2413 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
648388 |
Total Medical Medicare Allowed Amount |
240042.46 |
Total Medical Medicare Payment Amount |
185405.48 |
Total Medical Medicare Standardized Payment Amount |
181330.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
433 |
Number Of Male Beneficiaries |
437 |
Number Of Non Hispanic White Beneficiaries |
804 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
526 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
344 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
55 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3378 |