National Provider Identifier [NPI]: |
1053344283 |
Last Name Of The Provider |
MALPANI |
First Name Of The Provider |
RAVI |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1044 SW 44TH ST |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731093609 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
3479 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
286835.06 |
Total Medicare Allowed Amount |
247735.13 |
Total Medicare Payment Amount |
188607.09 |
Total Medicare Standardized Payment Amount |
203226.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
122 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
1743.27 |
Total Drug Medicare AllowedAmount |
1679.61 |
Total Drug Medicare PaymentAmount |
1631 |
Total Drug Medicare Standardized Payment Amount |
1631 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3357 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
285091.79 |
Total Medical Medicare Allowed Amount |
246055.52 |
Total Medical Medicare Payment Amount |
186976.09 |
Total Medical Medicare Standardized Payment Amount |
201595.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
307 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
64 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8439 |