National Provider Identifier [NPI]: |
1982832473 |
Last Name Of The Provider |
DESHMANE |
First Name Of The Provider |
PRASHANT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 MEDICAL PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARTSVILLE |
Zip Code Of The Provider |
295504765 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
1699 |
Number Of Medicare Beneficiaries |
381 |
Total Submitted Charge Amount |
505040.53 |
Total Medicare Allowed Amount |
197113.59 |
Total Medicare Payment Amount |
147924.23 |
Total Medicare Standardized Payment Amount |
162767.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
360 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
1813 |
Total Drug Medicare AllowedAmount |
646.39 |
Total Drug Medicare PaymentAmount |
494.52 |
Total Drug Medicare Standardized Payment Amount |
494.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
1339 |
Number Of Medicare Beneficiaries With Medical Services |
381 |
Total Medical Submitted Charge Amount |
503227.53 |
Total Medical Medicare Allowed Amount |
196467.2 |
Total Medical Medicare Payment Amount |
147429.71 |
Total Medical Medicare Standardized Payment Amount |
162273.29 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
291 |
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 |
290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.221 |