National Provider Identifier [NPI]: |
1508865551 |
Last Name Of The Provider |
DOSHI |
First Name Of The Provider |
HIMANSHU |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4000 JOHNSON RD |
Street Address 2 Of The Provider |
TRINITY MEDICAL CENTER WEST |
City Of The Provider |
STEUBENVILLE |
Zip Code Of The Provider |
439522300 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3027 |
Number Of Medicare Beneficiaries |
1134 |
Total Submitted Charge Amount |
480710 |
Total Medicare Allowed Amount |
101000.84 |
Total Medicare Payment Amount |
77333.18 |
Total Medicare Standardized Payment Amount |
60518.76 |
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 |
33 |
Number Of Medical Services |
3027 |
Number Of Medicare Beneficiaries With Medical Services |
1134 |
Total Medical Submitted Charge Amount |
480710 |
Total Medical Medicare Allowed Amount |
101000.84 |
Total Medical Medicare Payment Amount |
77333.18 |
Total Medical Medicare Standardized Payment Amount |
60518.76 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
1066 |
Number Of Black or African American Beneficiaries |
49 |
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 |
827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7112 |