National Provider Identifier [NPI]: |
1851406227 |
Last Name Of The Provider |
SHAH |
First Name Of The Provider |
ATUL |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 WELDAY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTERSVILLE |
Zip Code Of The Provider |
439533779 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
5189 |
Number Of Medicare Beneficiaries |
601 |
Total Submitted Charge Amount |
616338 |
Total Medicare Allowed Amount |
366782.33 |
Total Medicare Payment Amount |
277421.51 |
Total Medicare Standardized Payment Amount |
284505.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
210 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
5734 |
Total Drug Medicare AllowedAmount |
2352.53 |
Total Drug Medicare PaymentAmount |
2258.31 |
Total Drug Medicare Standardized Payment Amount |
2258.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
4979 |
Number Of Medicare Beneficiaries With Medical Services |
601 |
Total Medical Submitted Charge Amount |
610604 |
Total Medical Medicare Allowed Amount |
364429.8 |
Total Medical Medicare Payment Amount |
275163.2 |
Total Medical Medicare Standardized Payment Amount |
282247.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
198 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
114 |
Number Of Female Beneficiaries |
340 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
544 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
397 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8783 |