National Provider Identifier [NPI]: |
1457312654 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
SWETA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
275 VARNUM AVE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
LOWELL |
Zip Code Of The Provider |
018542109 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
862 |
Number Of Medicare Beneficiaries |
383 |
Total Submitted Charge Amount |
203951 |
Total Medicare Allowed Amount |
98524.48 |
Total Medicare Payment Amount |
74814.96 |
Total Medicare Standardized Payment Amount |
71228.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
24 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1250 |
Total Drug Medicare AllowedAmount |
987.33 |
Total Drug Medicare PaymentAmount |
967.52 |
Total Drug Medicare Standardized Payment Amount |
967.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
838 |
Number Of Medicare Beneficiaries With Medical Services |
383 |
Total Medical Submitted Charge Amount |
202701 |
Total Medical Medicare Allowed Amount |
97537.15 |
Total Medical Medicare Payment Amount |
73847.44 |
Total Medical Medicare Standardized Payment Amount |
70261.18 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
318 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9989 |