National Provider Identifier [NPI]: |
1295798874 |
Last Name Of The Provider |
CHOKSI |
First Name Of The Provider |
ASIT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
920 MEDICAL PLAZA DRIVE |
Street Address 2 Of The Provider |
#140 |
City Of The Provider |
THE WOODLANDS |
Zip Code Of The Provider |
77380 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
338 |
Number Of Services |
138416 |
Number Of Medicare Beneficiaries |
5147 |
Total Submitted Charge Amount |
6964661.11 |
Total Medicare Allowed Amount |
1972643.84 |
Total Medicare Payment Amount |
1582513.12 |
Total Medicare Standardized Payment Amount |
1618876.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
45 |
Number Of Drug Services |
106473 |
Number Of Medicare Beneficiaries With Drug Services |
549 |
Total Drug Submitted ChargeAmount |
958051.95 |
Total Drug Medicare AllowedAmount |
367223.49 |
Total Drug Medicare PaymentAmount |
287782.34 |
Total Drug Medicare Standardized Payment Amount |
287782.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
293 |
Number Of Medical Services |
31943 |
Number Of Medicare Beneficiaries With Medical Services |
5147 |
Total Medical Submitted Charge Amount |
6006609.16 |
Total Medical Medicare Allowed Amount |
1605420.35 |
Total Medical Medicare Payment Amount |
1294730.78 |
Total Medical Medicare Standardized Payment Amount |
1331094.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
387 |
Number Of Beneficiaries Age 65 to 74 |
2635 |
Number Of Beneficiaries Age 75 to 84 |
1574 |
Number Of Beneficiaries Age Greater 84 |
551 |
Number Of Female Beneficiaries |
3132 |
Number Of Male Beneficiaries |
2015 |
Number Of Non Hispanic White Beneficiaries |
4543 |
Number Of Black or African American Beneficiaries |
323 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
197 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
4848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2098 |