National Provider Identifier [NPI]: |
1235121013 |
Last Name Of The Provider |
PARKAR |
First Name Of The Provider |
NADEEM |
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 |
3635 VISTA AT GRAND |
Street Address 2 Of The Provider |
RADIOLOGY DEPT - SLUH |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631100250 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
3287 |
Number Of Medicare Beneficiaries |
1763 |
Total Submitted Charge Amount |
178461 |
Total Medicare Allowed Amount |
80155.95 |
Total Medicare Payment Amount |
59218.59 |
Total Medicare Standardized Payment Amount |
60322.08 |
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 |
96 |
Number Of Medical Services |
3287 |
Number Of Medicare Beneficiaries With Medical Services |
1763 |
Total Medical Submitted Charge Amount |
178461 |
Total Medical Medicare Allowed Amount |
80155.95 |
Total Medical Medicare Payment Amount |
59218.59 |
Total Medical Medicare Standardized Payment Amount |
60322.08 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
720 |
Number Of Beneficiaries Age 65 to 74 |
569 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
880 |
Number Of Male Beneficiaries |
883 |
Number Of Non Hispanic White Beneficiaries |
1011 |
Number Of Black or African American Beneficiaries |
703 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
878 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
885 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.5223 |