National Provider Identifier [NPI]: |
1376782078 |
Last Name Of The Provider |
PARIKH |
First Name Of The Provider |
AMOL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
710 S QUEEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199043567 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
12302 |
Number Of Medicare Beneficiaries |
1224 |
Total Submitted Charge Amount |
718944.13 |
Total Medicare Allowed Amount |
173396.39 |
Total Medicare Payment Amount |
133161.82 |
Total Medicare Standardized Payment Amount |
131897.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10328 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
15769.13 |
Total Drug Medicare AllowedAmount |
2835.8 |
Total Drug Medicare PaymentAmount |
2197.8 |
Total Drug Medicare Standardized Payment Amount |
2197.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
1974 |
Number Of Medicare Beneficiaries With Medical Services |
1224 |
Total Medical Submitted Charge Amount |
703175 |
Total Medical Medicare Allowed Amount |
170560.59 |
Total Medical Medicare Payment Amount |
130964.02 |
Total Medical Medicare Standardized Payment Amount |
129700.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
710 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
1022 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1066 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4629 |