National Provider Identifier [NPI]: |
1316946890 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
PRASHANT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7447 W TALCOTT AVE |
Street Address 2 Of The Provider |
STE. 400 |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606313745 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
58950 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
2754945 |
Total Medicare Allowed Amount |
854600.8 |
Total Medicare Payment Amount |
652103.21 |
Total Medicare Standardized Payment Amount |
641458.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
55863 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
2176625 |
Total Drug Medicare AllowedAmount |
641871.65 |
Total Drug Medicare PaymentAmount |
488114.25 |
Total Drug Medicare Standardized Payment Amount |
488114.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3087 |
Number Of Medicare Beneficiaries With Medical Services |
327 |
Total Medical Submitted Charge Amount |
578320 |
Total Medical Medicare Allowed Amount |
212729.15 |
Total Medical Medicare Payment Amount |
163988.96 |
Total Medical Medicare Standardized Payment Amount |
153343.79 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
305 |
Number Of Black or African American Beneficiaries |
|
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 |
294 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2337 |