National Provider Identifier [NPI]: |
1538342845 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
RAVI |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2649 SCHOENERSVILLE RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
BETHLEHEM |
Zip Code Of The Provider |
180177326 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
5067 |
Number Of Medicare Beneficiaries |
2503 |
Total Submitted Charge Amount |
505465 |
Total Medicare Allowed Amount |
243120.97 |
Total Medicare Payment Amount |
186125.95 |
Total Medicare Standardized Payment Amount |
193372.32 |
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 |
65 |
Number Of Medical Services |
5067 |
Number Of Medicare Beneficiaries With Medical Services |
2503 |
Total Medical Submitted Charge Amount |
505465 |
Total Medical Medicare Allowed Amount |
243120.97 |
Total Medical Medicare Payment Amount |
186125.95 |
Total Medical Medicare Standardized Payment Amount |
193372.32 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
364 |
Number Of Beneficiaries Age 65 to 74 |
730 |
Number Of Beneficiaries Age 75 to 84 |
815 |
Number Of Beneficiaries Age Greater 84 |
594 |
Number Of Female Beneficiaries |
1312 |
Number Of Male Beneficiaries |
1191 |
Number Of Non Hispanic White Beneficiaries |
2266 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
130 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2050 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
453 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.859 |