National Provider Identifier [NPI]: |
1346231750 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
PRAKASH |
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 |
1901 PORT LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791061736 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
31598 |
Number Of Medicare Beneficiaries |
2762 |
Total Submitted Charge Amount |
4635467.87 |
Total Medicare Allowed Amount |
1289845.71 |
Total Medicare Payment Amount |
975092.68 |
Total Medicare Standardized Payment Amount |
1036092.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
18880 |
Number Of Medicare Beneficiaries With Drug Services |
318 |
Total Drug Submitted ChargeAmount |
143266 |
Total Drug Medicare AllowedAmount |
60097.64 |
Total Drug Medicare PaymentAmount |
46024.44 |
Total Drug Medicare Standardized Payment Amount |
46024.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
160 |
Number Of Medical Services |
12718 |
Number Of Medicare Beneficiaries With Medical Services |
2762 |
Total Medical Submitted Charge Amount |
4492201.87 |
Total Medical Medicare Allowed Amount |
1229748.07 |
Total Medical Medicare Payment Amount |
929068.24 |
Total Medical Medicare Standardized Payment Amount |
990068.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
282 |
Number Of Beneficiaries Age 65 to 74 |
991 |
Number Of Beneficiaries Age 75 to 84 |
1017 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
1521 |
Number Of Male Beneficiaries |
1241 |
Number Of Non Hispanic White Beneficiaries |
2325 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
322 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2229 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
533 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6844 |