National Provider Identifier [NPI]: |
1548219082 |
Last Name Of The Provider |
GOEL |
First Name Of The Provider |
PARVESH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1171 HART ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CANTON |
Zip Code Of The Provider |
390464805 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
18404 |
Number Of Medicare Beneficiaries |
1056 |
Total Submitted Charge Amount |
1379373.6 |
Total Medicare Allowed Amount |
703967.93 |
Total Medicare Payment Amount |
593086.95 |
Total Medicare Standardized Payment Amount |
591049.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
410 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
11425 |
Total Drug Medicare AllowedAmount |
1659.63 |
Total Drug Medicare PaymentAmount |
1491.36 |
Total Drug Medicare Standardized Payment Amount |
1491.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
17994 |
Number Of Medicare Beneficiaries With Medical Services |
1050 |
Total Medical Submitted Charge Amount |
1367948.6 |
Total Medical Medicare Allowed Amount |
702308.3 |
Total Medical Medicare Payment Amount |
591595.59 |
Total Medical Medicare Standardized Payment Amount |
589558.12 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
423 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
638 |
Number Of Male Beneficiaries |
418 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
604 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
408 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
648 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8713 |