National Provider Identifier [NPI]: |
1376684027 |
Last Name Of The Provider |
OSWAL |
First Name Of The Provider |
ALOK |
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 |
12221 MERIT DRIVE |
Street Address 2 Of The Provider |
SUITE 1610 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
75251 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
5332 |
Number Of Medicare Beneficiaries |
868 |
Total Submitted Charge Amount |
1620446 |
Total Medicare Allowed Amount |
453887.17 |
Total Medicare Payment Amount |
353070.41 |
Total Medicare Standardized Payment Amount |
372565.51 |
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 |
24 |
Number Of Medical Services |
5332 |
Number Of Medicare Beneficiaries With Medical Services |
868 |
Total Medical Submitted Charge Amount |
1620446 |
Total Medical Medicare Allowed Amount |
453887.17 |
Total Medical Medicare Payment Amount |
353070.41 |
Total Medical Medicare Standardized Payment Amount |
372565.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
727 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.4096 |