Medicare Facts for Dr. Purushottam A. Gholve, MD


National Provider Identifier [NPI]: 1114127685
Last Name Of The Provider GHOLVE
First Name Of The Provider PURUSHOTTAM
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 800 WASHINGTON ST # 206
Street Address 2 Of The Provider TUFTS MEDICAL CENTER
City Of The Provider BOSTON
Zip Code Of The Provider 021111552
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 79
Number Of Medicare Beneficiaries 38
Total Submitted Charge Amount 76584
Total Medicare Allowed Amount 14636.22
Total Medicare Payment Amount 11300.42
Total Medicare Standardized Payment Amount 10834.23
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 79
Number Of Medicare Beneficiaries With Medical Services 38
Total Medical Submitted Charge Amount 76584
Total Medical Medicare Allowed Amount 14636.22
Total Medical Medicare Payment Amount 11300.42
Total Medical Medicare Standardized Payment Amount 10834.23
Average Age Of Beneficiaries 61
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 11
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 22
Number Of Male Beneficiaries 16
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 18
Number Of Beneficiaries With Medicare Medicaid Entitlement 20
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 39
Percent Of With Diabetes
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 71
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5754

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