National Provider Identifier [NPI]: |
1134321235 |
Last Name Of The Provider |
PARIKH |
First Name Of The Provider |
VIRAJ |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3024 BUSINESS PARK CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
GOODLETTSVILLE |
Zip Code Of The Provider |
370723132 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
218 |
Number Of Services |
15215 |
Number Of Medicare Beneficiaries |
4338 |
Total Submitted Charge Amount |
1407090.89 |
Total Medicare Allowed Amount |
268260.77 |
Total Medicare Payment Amount |
205151.65 |
Total Medicare Standardized Payment Amount |
225420.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7891 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
1557.85 |
Total Drug Medicare AllowedAmount |
1419.81 |
Total Drug Medicare PaymentAmount |
1081.37 |
Total Drug Medicare Standardized Payment Amount |
1081.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
213 |
Number Of Medical Services |
7324 |
Number Of Medicare Beneficiaries With Medical Services |
4338 |
Total Medical Submitted Charge Amount |
1405533.04 |
Total Medical Medicare Allowed Amount |
266840.96 |
Total Medical Medicare Payment Amount |
204070.28 |
Total Medical Medicare Standardized Payment Amount |
224338.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
693 |
Number Of Beneficiaries Age 65 to 74 |
1638 |
Number Of Beneficiaries Age 75 to 84 |
1331 |
Number Of Beneficiaries Age Greater 84 |
676 |
Number Of Female Beneficiaries |
2465 |
Number Of Male Beneficiaries |
1873 |
Number Of Non Hispanic White Beneficiaries |
3802 |
Number Of Black or African American Beneficiaries |
435 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
3529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
809 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8262 |