National Provider Identifier [NPI]: |
1518053149 |
Last Name Of The Provider |
NAYAK |
First Name Of The Provider |
SATISH |
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 |
706 HOSPITAL DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDREWS |
Zip Code Of The Provider |
79714 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
858 |
Number Of Medicare Beneficiaries |
139 |
Total Submitted Charge Amount |
47105.02 |
Total Medicare Allowed Amount |
31217.1 |
Total Medicare Payment Amount |
20779.84 |
Total Medicare Standardized Payment Amount |
21341.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
274 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1430.02 |
Total Drug Medicare AllowedAmount |
317.48 |
Total Drug Medicare PaymentAmount |
226.97 |
Total Drug Medicare Standardized Payment Amount |
226.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
584 |
Number Of Medicare Beneficiaries With Medical Services |
139 |
Total Medical Submitted Charge Amount |
45675 |
Total Medical Medicare Allowed Amount |
30899.62 |
Total Medical Medicare Payment Amount |
20552.87 |
Total Medical Medicare Standardized Payment Amount |
21114.42 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
86 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
86 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2143 |