National Provider Identifier [NPI]: |
1477571883 |
Last Name Of The Provider |
PRASAD |
First Name Of The Provider |
JYOTSNA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
445 E FM 1382 |
Street Address 2 Of The Provider |
SUITE 3354 |
City Of The Provider |
CEDAR HILL |
Zip Code Of The Provider |
751046047 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
1240 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
296068.66 |
Total Medicare Allowed Amount |
125836.62 |
Total Medicare Payment Amount |
88517.86 |
Total Medicare Standardized Payment Amount |
88892.1 |
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 |
6 |
Number Of Medical Services |
1240 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
296068.66 |
Total Medical Medicare Allowed Amount |
125836.62 |
Total Medical Medicare Payment Amount |
88517.86 |
Total Medical Medicare Standardized Payment Amount |
88892.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
93 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
125 |
Number Of Black or African American Beneficiaries |
170 |
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 |
18 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
312 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
66 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
43 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.9228 |