National Provider Identifier [NPI]: |
1922190859 |
Last Name Of The Provider |
VYAS |
First Name Of The Provider |
DAKSHA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 E. 89TH AVE. |
Street Address 2 Of The Provider |
SUITE 3 - B |
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464107319 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6752 |
Number Of Medicare Beneficiaries |
801 |
Total Submitted Charge Amount |
750565 |
Total Medicare Allowed Amount |
452523.36 |
Total Medicare Payment Amount |
341838.25 |
Total Medicare Standardized Payment Amount |
358500.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2110 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
25535 |
Total Drug Medicare AllowedAmount |
11438.18 |
Total Drug Medicare PaymentAmount |
8958.95 |
Total Drug Medicare Standardized Payment Amount |
8958.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4642 |
Number Of Medicare Beneficiaries With Medical Services |
801 |
Total Medical Submitted Charge Amount |
725030 |
Total Medical Medicare Allowed Amount |
441085.18 |
Total Medical Medicare Payment Amount |
332879.3 |
Total Medical Medicare Standardized Payment Amount |
349541.2 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
336 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
333 |
Number Of Non Hispanic White Beneficiaries |
246 |
Number Of Black or African American Beneficiaries |
508 |
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 |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
400 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
32 |
Average HCC Risk Score Of Beneficiaries |
2.0736 |