National Provider Identifier [NPI]: |
1942248901 |
Last Name Of The Provider |
DIGGIKAR |
First Name Of The Provider |
SHRINIVAS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 W MAYFIELD RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
760142083 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
95580 |
Number Of Medicare Beneficiaries |
388 |
Total Submitted Charge Amount |
5198495 |
Total Medicare Allowed Amount |
1564297.43 |
Total Medicare Payment Amount |
1223970.11 |
Total Medicare Standardized Payment Amount |
1227254.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
88939 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
4293803 |
Total Drug Medicare AllowedAmount |
1322010.98 |
Total Drug Medicare PaymentAmount |
1035554.42 |
Total Drug Medicare Standardized Payment Amount |
1035554.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
6641 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
904692 |
Total Medical Medicare Allowed Amount |
242286.45 |
Total Medical Medicare Payment Amount |
188415.69 |
Total Medical Medicare Standardized Payment Amount |
191700.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1948 |