Medicare Facts for Dr. Prabhat K. Pokhrel, MD


National Provider Identifier [NPI]: 1871531848
Last Name Of The Provider POKHREL
First Name Of The Provider PRABHAT
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1460 N CENTER RD
Street Address 2 Of The Provider
City Of The Provider BURTON
Zip Code Of The Provider 485091429
State Code Of The Provider MI
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 736
Number Of Medicare Beneficiaries 280
Total Submitted Charge Amount 68535.4
Total Medicare Allowed Amount 49399.44
Total Medicare Payment Amount 36665.36
Total Medicare Standardized Payment Amount 37997.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 39
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 736.8
Total Drug Medicare AllowedAmount 368.09
Total Drug Medicare PaymentAmount 338.66
Total Drug Medicare Standardized Payment Amount 338.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 36
Number Of Medical Services 697
Number Of Medicare Beneficiaries With Medical Services 280
Total Medical Submitted Charge Amount 67798.6
Total Medical Medicare Allowed Amount 49031.35
Total Medical Medicare Payment Amount 36326.7
Total Medical Medicare Standardized Payment Amount 37659.32
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65 116
Number Of Beneficiaries Age 65 to 74 92
Number Of Beneficiaries Age 75 to 84 47
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 158
Number Of Male Beneficiaries 122
Number Of Non Hispanic White Beneficiaries 219
Number Of Black or African American Beneficiaries 50
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 144
Number Of Beneficiaries With Medicare Medicaid Entitlement 136
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 11
Percent Of With Cancer 8
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 41
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 37
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.9169

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