National Provider Identifier [NPI]: |
1598995185 |
Last Name Of The Provider |
PRIYADARSHI |
First Name Of The Provider |
VIKASH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5205 BABCOCK ST NE |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
PALM BAY |
Zip Code Of The Provider |
329054638 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
3826 |
Number Of Medicare Beneficiaries |
462 |
Total Submitted Charge Amount |
425255.68 |
Total Medicare Allowed Amount |
331346.78 |
Total Medicare Payment Amount |
252445 |
Total Medicare Standardized Payment Amount |
251954.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1015.68 |
Total Drug Medicare AllowedAmount |
526.1 |
Total Drug Medicare PaymentAmount |
496.24 |
Total Drug Medicare Standardized Payment Amount |
496.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3746 |
Number Of Medicare Beneficiaries With Medical Services |
462 |
Total Medical Submitted Charge Amount |
424240 |
Total Medical Medicare Allowed Amount |
330820.68 |
Total Medical Medicare Payment Amount |
251948.76 |
Total Medical Medicare Standardized Payment Amount |
251458.55 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
359 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
165 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5546 |