National Provider Identifier [NPI]: |
1760455042 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
PARESHKUMAR |
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 |
3475 S SUNCOAST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOMOSASSA |
Zip Code Of The Provider |
344482322 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
11255 |
Number Of Medicare Beneficiaries |
1587 |
Total Submitted Charge Amount |
1338762.27 |
Total Medicare Allowed Amount |
469901.92 |
Total Medicare Payment Amount |
355789.77 |
Total Medicare Standardized Payment Amount |
356397.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
742 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
64680.82 |
Total Drug Medicare AllowedAmount |
24463.32 |
Total Drug Medicare PaymentAmount |
19084.91 |
Total Drug Medicare Standardized Payment Amount |
19084.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
10513 |
Number Of Medicare Beneficiaries With Medical Services |
1587 |
Total Medical Submitted Charge Amount |
1274081.45 |
Total Medical Medicare Allowed Amount |
445438.6 |
Total Medical Medicare Payment Amount |
336704.86 |
Total Medical Medicare Standardized Payment Amount |
337312.47 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
689 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
1171 |
Number Of Non Hispanic White Beneficiaries |
1477 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1452 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4081 |