National Provider Identifier [NPI]: |
1376640904 |
Last Name Of The Provider |
PAREKH |
First Name Of The Provider |
SOHAIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1601 N BELT LINE RD STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
MESQUITE |
Zip Code Of The Provider |
751491722 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
6622 |
Number Of Medicare Beneficiaries |
610 |
Total Submitted Charge Amount |
973217.51 |
Total Medicare Allowed Amount |
494202.15 |
Total Medicare Payment Amount |
384450.68 |
Total Medicare Standardized Payment Amount |
383429.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
152 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
3546.56 |
Total Drug Medicare AllowedAmount |
1243.35 |
Total Drug Medicare PaymentAmount |
1215.4 |
Total Drug Medicare Standardized Payment Amount |
1215.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
6470 |
Number Of Medicare Beneficiaries With Medical Services |
610 |
Total Medical Submitted Charge Amount |
969670.95 |
Total Medical Medicare Allowed Amount |
492958.8 |
Total Medical Medicare Payment Amount |
383235.28 |
Total Medical Medicare Standardized Payment Amount |
382213.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
388 |
Number Of Black or African American Beneficiaries |
124 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
3.0662 |