National Provider Identifier [NPI]: |
1821099961 |
Last Name Of The Provider |
PARIKH |
First Name Of The Provider |
ROSHAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2944 BREEZEWOOD AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FAYETTEVILLE |
Zip Code Of The Provider |
283035415 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2943 |
Number Of Medicare Beneficiaries |
377 |
Total Submitted Charge Amount |
273063 |
Total Medicare Allowed Amount |
173185.43 |
Total Medicare Payment Amount |
113650.77 |
Total Medicare Standardized Payment Amount |
123171.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
176 |
Total Drug Submitted ChargeAmount |
5634 |
Total Drug Medicare AllowedAmount |
1818.53 |
Total Drug Medicare PaymentAmount |
1771.18 |
Total Drug Medicare Standardized Payment Amount |
1771.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2695 |
Number Of Medicare Beneficiaries With Medical Services |
377 |
Total Medical Submitted Charge Amount |
267429 |
Total Medical Medicare Allowed Amount |
171366.9 |
Total Medical Medicare Payment Amount |
111879.59 |
Total Medical Medicare Standardized Payment Amount |
121400.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
200 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
5 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0126 |