National Provider Identifier [NPI]: |
1720252844 |
Last Name Of The Provider |
SHAH |
First Name Of The Provider |
PARAS |
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 |
1760 E PECOS RD STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GILBERT |
Zip Code Of The Provider |
852953201 |
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 |
168 |
Number Of Services |
19247 |
Number Of Medicare Beneficiaries |
2321 |
Total Submitted Charge Amount |
990871.63 |
Total Medicare Allowed Amount |
324352.22 |
Total Medicare Payment Amount |
246564.41 |
Total Medicare Standardized Payment Amount |
252370.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
15849 |
Number Of Medicare Beneficiaries With Drug Services |
176 |
Total Drug Submitted ChargeAmount |
16313.63 |
Total Drug Medicare AllowedAmount |
4053.81 |
Total Drug Medicare PaymentAmount |
3178.14 |
Total Drug Medicare Standardized Payment Amount |
3178.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
163 |
Number Of Medical Services |
3398 |
Number Of Medicare Beneficiaries With Medical Services |
2321 |
Total Medical Submitted Charge Amount |
974558 |
Total Medical Medicare Allowed Amount |
320298.41 |
Total Medical Medicare Payment Amount |
243386.27 |
Total Medical Medicare Standardized Payment Amount |
249192.23 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
323 |
Number Of Beneficiaries Age 65 to 74 |
1080 |
Number Of Beneficiaries Age 75 to 84 |
594 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
1251 |
Number Of Male Beneficiaries |
1070 |
Number Of Non Hispanic White Beneficiaries |
1808 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
218 |
Number Of American Indian Alaska Native Beneficiaries |
91 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1900 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
421 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5776 |