National Provider Identifier [NPI]: |
1467683581 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
REETI |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3030 NORTH STREET, SUITE 450 |
Street Address 2 Of The Provider |
CHRISTUS ST. ELIZABETH MEDICAL GROUP - SOUTHEAST TEXAS |
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
77702 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5543 |
Number Of Medicare Beneficiaries |
642 |
Total Submitted Charge Amount |
497488 |
Total Medicare Allowed Amount |
193966.78 |
Total Medicare Payment Amount |
143639.01 |
Total Medicare Standardized Payment Amount |
155907.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
193 |
Total Drug Submitted ChargeAmount |
10176 |
Total Drug Medicare AllowedAmount |
3424.87 |
Total Drug Medicare PaymentAmount |
3188.33 |
Total Drug Medicare Standardized Payment Amount |
3188.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
5227 |
Number Of Medicare Beneficiaries With Medical Services |
642 |
Total Medical Submitted Charge Amount |
487312 |
Total Medical Medicare Allowed Amount |
190541.91 |
Total Medical Medicare Payment Amount |
140450.68 |
Total Medical Medicare Standardized Payment Amount |
152719.15 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
496 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
522 |
Number Of Black or African American Beneficiaries |
96 |
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 |
582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
39 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3891 |