National Provider Identifier [NPI]: |
1023046190 |
Last Name Of The Provider |
BIRDI |
First Name Of The Provider |
AMARJEET |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
627 S EDWIN C MOSES BLVD |
Street Address 2 Of The Provider |
SUITE G |
City Of The Provider |
DAYTON |
Zip Code Of The Provider |
454173461 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
12 |
Number Of Services |
4581 |
Number Of Medicare Beneficiaries |
881 |
Total Submitted Charge Amount |
823770 |
Total Medicare Allowed Amount |
339430.84 |
Total Medicare Payment Amount |
260757.02 |
Total Medicare Standardized Payment Amount |
266454.18 |
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 |
12 |
Number Of Medical Services |
4581 |
Number Of Medicare Beneficiaries With Medical Services |
881 |
Total Medical Submitted Charge Amount |
823770 |
Total Medical Medicare Allowed Amount |
339430.84 |
Total Medical Medicare Payment Amount |
260757.02 |
Total Medical Medicare Standardized Payment Amount |
266454.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
311 |
Number Of Non Hispanic White Beneficiaries |
750 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
519 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
65 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
72 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
56 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9264 |