National Provider Identifier [NPI]: |
1477852721 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
MILIND |
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 |
700 ACKERMAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432021559 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
9453 |
Number Of Medicare Beneficiaries |
2597 |
Total Submitted Charge Amount |
473831.4 |
Total Medicare Allowed Amount |
169881.85 |
Total Medicare Payment Amount |
130312.25 |
Total Medicare Standardized Payment Amount |
137184.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4513 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
3084 |
Total Drug Medicare AllowedAmount |
2119.11 |
Total Drug Medicare PaymentAmount |
1627.45 |
Total Drug Medicare Standardized Payment Amount |
1627.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
181 |
Number Of Medical Services |
4940 |
Number Of Medicare Beneficiaries With Medical Services |
2597 |
Total Medical Submitted Charge Amount |
470747.4 |
Total Medical Medicare Allowed Amount |
167762.74 |
Total Medical Medicare Payment Amount |
128684.8 |
Total Medical Medicare Standardized Payment Amount |
135557.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
532 |
Number Of Beneficiaries Age 65 to 74 |
744 |
Number Of Beneficiaries Age 75 to 84 |
763 |
Number Of Beneficiaries Age Greater 84 |
558 |
Number Of Female Beneficiaries |
1482 |
Number Of Male Beneficiaries |
1115 |
Number Of Non Hispanic White Beneficiaries |
2381 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1690 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
907 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6379 |