National Provider Identifier [NPI]: |
1538277751 |
Last Name Of The Provider |
PRASAD |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44000 W 12 MILE RD |
Street Address 2 Of The Provider |
STE 115 |
City Of The Provider |
NOVI |
Zip Code Of The Provider |
483772644 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2286 |
Number Of Medicare Beneficiaries |
1529 |
Total Submitted Charge Amount |
412148 |
Total Medicare Allowed Amount |
313483.5 |
Total Medicare Payment Amount |
242567.39 |
Total Medicare Standardized Payment Amount |
238113.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
300 |
Total Drug Medicare AllowedAmount |
144.48 |
Total Drug Medicare PaymentAmount |
141.6 |
Total Drug Medicare Standardized Payment Amount |
141.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
2274 |
Number Of Medicare Beneficiaries With Medical Services |
1529 |
Total Medical Submitted Charge Amount |
411848 |
Total Medical Medicare Allowed Amount |
313339.02 |
Total Medical Medicare Payment Amount |
242425.79 |
Total Medical Medicare Standardized Payment Amount |
237972.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
750 |
Number Of Beneficiaries Age 75 to 84 |
527 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
603 |
Number Of Non Hispanic White Beneficiaries |
1117 |
Number Of Black or African American Beneficiaries |
351 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2029 |