National Provider Identifier [NPI]: |
1386660876 |
Last Name Of The Provider |
NATH |
First Name Of The Provider |
SAMIR |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2802 GARTH RD |
Street Address 2 Of The Provider |
SUITE 115 |
City Of The Provider |
BAYTOWN |
Zip Code Of The Provider |
775213900 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1897 |
Number Of Medicare Beneficiaries |
573 |
Total Submitted Charge Amount |
477509 |
Total Medicare Allowed Amount |
204849.78 |
Total Medicare Payment Amount |
155017.72 |
Total Medicare Standardized Payment Amount |
157218.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1897 |
Number Of Medicare Beneficiaries With Medical Services |
573 |
Total Medical Submitted Charge Amount |
477509 |
Total Medical Medicare Allowed Amount |
204849.78 |
Total Medical Medicare Payment Amount |
155017.72 |
Total Medical Medicare Standardized Payment Amount |
157218.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
230 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
415 |
Number Of Black or African American Beneficiaries |
93 |
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 |
452 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9977 |