National Provider Identifier [NPI]: |
1164699765 |
Last Name Of The Provider |
VERMA |
First Name Of The Provider |
NISHANT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515648 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
191 |
Number Of Services |
9952 |
Number Of Medicare Beneficiaries |
4278 |
Total Submitted Charge Amount |
2620046 |
Total Medicare Allowed Amount |
993965.63 |
Total Medicare Payment Amount |
761218.67 |
Total Medicare Standardized Payment Amount |
765082 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2110 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
13767 |
Total Drug Medicare AllowedAmount |
4773.88 |
Total Drug Medicare PaymentAmount |
3742.69 |
Total Drug Medicare Standardized Payment Amount |
3742.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
186 |
Number Of Medical Services |
7842 |
Number Of Medicare Beneficiaries With Medical Services |
4278 |
Total Medical Submitted Charge Amount |
2606279 |
Total Medical Medicare Allowed Amount |
989191.75 |
Total Medical Medicare Payment Amount |
757475.98 |
Total Medical Medicare Standardized Payment Amount |
761339.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
253 |
Number Of Beneficiaries Age 65 to 74 |
1919 |
Number Of Beneficiaries Age 75 to 84 |
1420 |
Number Of Beneficiaries Age Greater 84 |
686 |
Number Of Female Beneficiaries |
2380 |
Number Of Male Beneficiaries |
1898 |
Number Of Non Hispanic White Beneficiaries |
3955 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
44 |
Number Of Beneficiaries With Race Not Else where Classified |
52 |
Number Of Beneficiaries With Medicare Only Entitlement |
3994 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
284 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4897 |