National Provider Identifier [NPI]: |
1760685242 |
Last Name Of The Provider |
MAKADIA |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6201 GENDER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CANAL WINCHESTER |
Zip Code Of The Provider |
431102007 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
2136 |
Number Of Medicare Beneficiaries |
130 |
Total Submitted Charge Amount |
99255.5 |
Total Medicare Allowed Amount |
60963.44 |
Total Medicare Payment Amount |
45257.74 |
Total Medicare Standardized Payment Amount |
47274.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
625 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
14304 |
Total Drug Medicare AllowedAmount |
6483.88 |
Total Drug Medicare PaymentAmount |
3897.41 |
Total Drug Medicare Standardized Payment Amount |
3897.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
1511 |
Number Of Medicare Beneficiaries With Medical Services |
130 |
Total Medical Submitted Charge Amount |
84951.5 |
Total Medical Medicare Allowed Amount |
54479.56 |
Total Medical Medicare Payment Amount |
41360.33 |
Total Medical Medicare Standardized Payment Amount |
43377.02 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
18 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
74 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
113 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
110 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1545 |