Medicare Facts for Dr. Nirav A. Sheth, MD


National Provider Identifier [NPI]: 1134137144
Last Name Of The Provider SHETH
First Name Of The Provider NIRAV
Middle Initial Of The Provider A
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 201 PARK ST
Street Address 2 Of The Provider
City Of The Provider BOWLING GREEN
Zip Code Of The Provider 421011759
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 189
Number Of Services 19765
Number Of Medicare Beneficiaries 1355
Total Submitted Charge Amount 1370076
Total Medicare Allowed Amount 865884.05
Total Medicare Payment Amount 657978.28
Total Medicare Standardized Payment Amount 708181.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 24
Number Of Drug Services 4315
Number Of Medicare Beneficiaries With Drug Services 326
Total Drug Submitted ChargeAmount 35025
Total Drug Medicare AllowedAmount 17225.96
Total Drug Medicare PaymentAmount 15576.51
Total Drug Medicare Standardized Payment Amount 15576.51
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 165
Number Of Medical Services 15450
Number Of Medicare Beneficiaries With Medical Services 1355
Total Medical Submitted Charge Amount 1335051
Total Medical Medicare Allowed Amount 848658.09
Total Medical Medicare Payment Amount 642401.77
Total Medical Medicare Standardized Payment Amount 692604.53
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 202
Number Of Beneficiaries Age 65 to 74 472
Number Of Beneficiaries Age 75 to 84 439
Number Of Beneficiaries Age Greater 84 242
Number Of Female Beneficiaries 761
Number Of Male Beneficiaries 594
Number Of Non Hispanic White Beneficiaries 1240
Number Of Black or African American Beneficiaries 99
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 911
Number Of Beneficiaries With Medicare Medicaid Entitlement 444
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 22
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 31
Percent Of With Chronic Kidney Disease 29
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 37
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 60
Percent Of With Schizophrenia Other PsychoticDisorders 12
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5322

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