National Provider Identifier [NPI]: |
1003868993 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
VIPUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1355 PROVIDENCE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRANDON |
Zip Code Of The Provider |
335114885 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
118996 |
Number Of Medicare Beneficiaries |
849 |
Total Submitted Charge Amount |
7018119 |
Total Medicare Allowed Amount |
2365614.83 |
Total Medicare Payment Amount |
1777674.62 |
Total Medicare Standardized Payment Amount |
1792747.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
107588 |
Number Of Medicare Beneficiaries With Drug Services |
409 |
Total Drug Submitted ChargeAmount |
4894185 |
Total Drug Medicare AllowedAmount |
1731358.29 |
Total Drug Medicare PaymentAmount |
1292344.74 |
Total Drug Medicare Standardized Payment Amount |
1292344.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
11408 |
Number Of Medicare Beneficiaries With Medical Services |
849 |
Total Medical Submitted Charge Amount |
2123934 |
Total Medical Medicare Allowed Amount |
634256.54 |
Total Medical Medicare Payment Amount |
485329.88 |
Total Medical Medicare Standardized Payment Amount |
500403.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
392 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
680 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
723 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
834 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
47 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2351 |