National Provider Identifier [NPI]: |
1053367847 |
Last Name Of The Provider |
VIJAPURA |
First Name Of The Provider |
ASHIT |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 N ALEXANDER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLANT CITY |
Zip Code Of The Provider |
335634831 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
6507 |
Number Of Medicare Beneficiaries |
1082 |
Total Submitted Charge Amount |
843900 |
Total Medicare Allowed Amount |
538680.12 |
Total Medicare Payment Amount |
404531.63 |
Total Medicare Standardized Payment Amount |
425552.1 |
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 |
6507 |
Number Of Medicare Beneficiaries With Medical Services |
1082 |
Total Medical Submitted Charge Amount |
843900 |
Total Medical Medicare Allowed Amount |
538680.12 |
Total Medical Medicare Payment Amount |
404531.63 |
Total Medical Medicare Standardized Payment Amount |
425552.1 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
677 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
555 |
Number Of Male Beneficiaries |
527 |
Number Of Non Hispanic White Beneficiaries |
720 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
153 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
765 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
53 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9949 |