National Provider Identifier [NPI]: |
1902853666 |
Last Name Of The Provider |
BASU |
First Name Of The Provider |
ABHIJEET |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6400 FANNIN ST |
Street Address 2 Of The Provider |
SUITE 3000 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770301527 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
9274 |
Number Of Medicare Beneficiaries |
818 |
Total Submitted Charge Amount |
3328721.5 |
Total Medicare Allowed Amount |
824933.95 |
Total Medicare Payment Amount |
623375.65 |
Total Medicare Standardized Payment Amount |
628573.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4904 |
Number Of Medicare Beneficiaries With Drug Services |
356 |
Total Drug Submitted ChargeAmount |
172849 |
Total Drug Medicare AllowedAmount |
75006.37 |
Total Drug Medicare PaymentAmount |
58244.41 |
Total Drug Medicare Standardized Payment Amount |
58244.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4370 |
Number Of Medicare Beneficiaries With Medical Services |
818 |
Total Medical Submitted Charge Amount |
3155872.5 |
Total Medical Medicare Allowed Amount |
749927.58 |
Total Medical Medicare Payment Amount |
565131.24 |
Total Medical Medicare Standardized Payment Amount |
570329.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
687 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
770 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.374 |