National Provider Identifier [NPI]: |
1255419115 |
Last Name Of The Provider |
PARACHA |
First Name Of The Provider |
MOHAMMAD |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4221 S WESTERN AVE STE 2045 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OKLAHOMA CITY |
Zip Code Of The Provider |
731093445 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
3548 |
Number Of Medicare Beneficiaries |
925 |
Total Submitted Charge Amount |
519406.1 |
Total Medicare Allowed Amount |
296775.69 |
Total Medicare Payment Amount |
226775.73 |
Total Medicare Standardized Payment Amount |
242512.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1200 |
Total Drug Medicare AllowedAmount |
950.4 |
Total Drug Medicare PaymentAmount |
931.34 |
Total Drug Medicare Standardized Payment Amount |
931.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3512 |
Number Of Medicare Beneficiaries With Medical Services |
925 |
Total Medical Submitted Charge Amount |
518206.1 |
Total Medical Medicare Allowed Amount |
295825.29 |
Total Medical Medicare Payment Amount |
225844.39 |
Total Medical Medicare Standardized Payment Amount |
241580.73 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
419 |
Number Of Non Hispanic White Beneficiaries |
772 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
53 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
61 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.811 |