National Provider Identifier [NPI]: |
1184676223 |
Last Name Of The Provider |
SHAH |
First Name Of The Provider |
ASIT |
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 |
401 S VAN BRUNT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENGLEWOOD |
Zip Code Of The Provider |
076314604 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
8390 |
Number Of Medicare Beneficiaries |
777 |
Total Submitted Charge Amount |
5835034 |
Total Medicare Allowed Amount |
561053.56 |
Total Medicare Payment Amount |
426071.77 |
Total Medicare Standardized Payment Amount |
388127.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4940 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
103624 |
Total Drug Medicare AllowedAmount |
60509.57 |
Total Drug Medicare PaymentAmount |
44996.59 |
Total Drug Medicare Standardized Payment Amount |
44996.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3450 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
5731410 |
Total Medical Medicare Allowed Amount |
500543.99 |
Total Medical Medicare Payment Amount |
381075.18 |
Total Medical Medicare Standardized Payment Amount |
343130.97 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3295 |