National Provider Identifier [NPI]: |
1093768053 |
Last Name Of The Provider |
OZA |
First Name Of The Provider |
UMESH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3500 GASTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752462017 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
2417 |
Number Of Medicare Beneficiaries |
1930 |
Total Submitted Charge Amount |
525855 |
Total Medicare Allowed Amount |
155223.76 |
Total Medicare Payment Amount |
118932.88 |
Total Medicare Standardized Payment Amount |
120980.79 |
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 |
109 |
Number Of Medical Services |
2417 |
Number Of Medicare Beneficiaries With Medical Services |
1930 |
Total Medical Submitted Charge Amount |
525855 |
Total Medical Medicare Allowed Amount |
155223.76 |
Total Medical Medicare Payment Amount |
118932.88 |
Total Medical Medicare Standardized Payment Amount |
120980.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
342 |
Number Of Beneficiaries Age 65 to 74 |
841 |
Number Of Beneficiaries Age 75 to 84 |
554 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
1089 |
Number Of Male Beneficiaries |
841 |
Number Of Non Hispanic White Beneficiaries |
1369 |
Number Of Black or African American Beneficiaries |
345 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
444 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2538 |