National Provider Identifier [NPI]: |
1346229838 |
Last Name Of The Provider |
PARIKH |
First Name Of The Provider |
PURVI |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 MEDICAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANNIBAL |
Zip Code Of The Provider |
634016877 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3073 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
318819 |
Total Medicare Allowed Amount |
85646.07 |
Total Medicare Payment Amount |
67564.06 |
Total Medicare Standardized Payment Amount |
71811.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
429 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
15853 |
Total Drug Medicare AllowedAmount |
7028.28 |
Total Drug Medicare PaymentAmount |
5662.75 |
Total Drug Medicare Standardized Payment Amount |
5662.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2644 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
302966 |
Total Medical Medicare Allowed Amount |
78617.79 |
Total Medical Medicare Payment Amount |
61901.31 |
Total Medical Medicare Standardized Payment Amount |
66148.35 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
86 |
Number Of Non Hispanic White Beneficiaries |
223 |
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 |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3314 |