National Provider Identifier [NPI]: |
1063491355 |
Last Name Of The Provider |
LOHANI |
First Name Of The Provider |
GOVINDA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2215 WILDWOOD AVE |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SHERWOOD |
Zip Code Of The Provider |
721205089 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
7051 |
Number Of Medicare Beneficiaries |
641 |
Total Submitted Charge Amount |
596964 |
Total Medicare Allowed Amount |
350730.9 |
Total Medicare Payment Amount |
259875.58 |
Total Medicare Standardized Payment Amount |
282116.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
623 |
Number Of Medicare Beneficiaries With Drug Services |
385 |
Total Drug Submitted ChargeAmount |
16465 |
Total Drug Medicare AllowedAmount |
8690.82 |
Total Drug Medicare PaymentAmount |
8343.56 |
Total Drug Medicare Standardized Payment Amount |
8343.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6428 |
Number Of Medicare Beneficiaries With Medical Services |
640 |
Total Medical Submitted Charge Amount |
580499 |
Total Medical Medicare Allowed Amount |
342040.08 |
Total Medical Medicare Payment Amount |
251532.02 |
Total Medical Medicare Standardized Payment Amount |
273772.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
512 |
Number Of Black or African American Beneficiaries |
109 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4222 |