National Provider Identifier [NPI]: |
1558329169 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
SALIL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1910 NONCONNAH BLVD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381322113 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
3857 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
6379034.77 |
Total Medicare Allowed Amount |
2777363.6 |
Total Medicare Payment Amount |
2154844.86 |
Total Medicare Standardized Payment Amount |
2411065.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1420 |
Number Of Medicare Beneficiaries With Drug Services |
391 |
Total Drug Submitted ChargeAmount |
8520 |
Total Drug Medicare AllowedAmount |
1784.37 |
Total Drug Medicare PaymentAmount |
1396.02 |
Total Drug Medicare Standardized Payment Amount |
1396.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2437 |
Number Of Medicare Beneficiaries With Medical Services |
556 |
Total Medical Submitted Charge Amount |
6370514.77 |
Total Medical Medicare Allowed Amount |
2775579.23 |
Total Medical Medicare Payment Amount |
2153448.84 |
Total Medical Medicare Standardized Payment Amount |
2409669.56 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
275 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
282 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
445 |
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 |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
367 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
7.0163 |