| National Provider Identifier [NPI]: | 1457338428 |
| Last Name Of The Provider | TRIVEDI |
| First Name Of The Provider | VIPUL |
| 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 | 1400 BELLINGER ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | EAU CLAIRE |
| Zip Code Of The Provider | 547035222 |
| State Code Of The Provider | WI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 71 |
| Number Of Services | 19398 |
| Number Of Medicare Beneficiaries | 7053 |
| Total Submitted Charge Amount | 1518432 |
| Total Medicare Allowed Amount | 178720.89 |
| Total Medicare Payment Amount | 142304.82 |
| Total Medicare Standardized Payment Amount | 131450.92 |
| 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 | 71 |
| Number Of Medical Services | 19398 |
| Number Of Medicare Beneficiaries With Medical Services | 7053 |
| Total Medical Submitted Charge Amount | 1518432 |
| Total Medical Medicare Allowed Amount | 178720.89 |
| Total Medical Medicare Payment Amount | 142304.82 |
| Total Medical Medicare Standardized Payment Amount | 131450.92 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1076 |
| Number Of Beneficiaries Age 65 to 74 | 3026 |
| Number Of Beneficiaries Age 75 to 84 | 1984 |
| Number Of Beneficiaries Age Greater 84 | 967 |
| Number Of Female Beneficiaries | 3833 |
| Number Of Male Beneficiaries | 3220 |
| Number Of Non Hispanic White Beneficiaries | 6845 |
| Number Of Black or African American Beneficiaries | 17 |
| Number Of AsianPacific Islander Beneficiaries | 42 |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | 102 |
| Number Of Beneficiaries With Medicare Only Entitlement | 5714 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1339 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 46 |
| Percent Of With Hypertension | 55 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1474 |