National Provider Identifier [NPI]: |
1740274414 |
Last Name Of The Provider |
SHAH |
First Name Of The Provider |
PARESH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1838 GREENE TREE RD |
Street Address 2 Of The Provider |
SUITE 535 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212086391 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5912 |
Number Of Medicare Beneficiaries |
1476 |
Total Submitted Charge Amount |
1671038.4 |
Total Medicare Allowed Amount |
644784.34 |
Total Medicare Payment Amount |
480484.33 |
Total Medicare Standardized Payment Amount |
455799.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
8976 |
Total Drug Medicare AllowedAmount |
2328.01 |
Total Drug Medicare PaymentAmount |
1825.15 |
Total Drug Medicare Standardized Payment Amount |
1825.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
5868 |
Number Of Medicare Beneficiaries With Medical Services |
1476 |
Total Medical Submitted Charge Amount |
1662062.4 |
Total Medical Medicare Allowed Amount |
642456.33 |
Total Medical Medicare Payment Amount |
478659.18 |
Total Medical Medicare Standardized Payment Amount |
453974.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
441 |
Number Of Beneficiaries Age 75 to 84 |
532 |
Number Of Beneficiaries Age Greater 84 |
387 |
Number Of Female Beneficiaries |
707 |
Number Of Male Beneficiaries |
769 |
Number Of Non Hispanic White Beneficiaries |
968 |
Number Of Black or African American Beneficiaries |
461 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1248 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
228 |
Percent Of With Atrial Fibrillation |
44 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8517 |