National Provider Identifier [NPI]: |
1902878234 |
Last Name Of The Provider |
SHAW |
First Name Of The Provider |
DINESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2108 TEXAS AVE |
Street Address 2 Of The Provider |
SUITE 2061 |
City Of The Provider |
ALEXANDRIA |
Zip Code Of The Provider |
713013944 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
24139 |
Number Of Medicare Beneficiaries |
2980 |
Total Submitted Charge Amount |
3044850 |
Total Medicare Allowed Amount |
924141.1 |
Total Medicare Payment Amount |
699925.52 |
Total Medicare Standardized Payment Amount |
733834.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
15510 |
Number Of Medicare Beneficiaries With Drug Services |
353 |
Total Drug Submitted ChargeAmount |
86085 |
Total Drug Medicare AllowedAmount |
46662.3 |
Total Drug Medicare PaymentAmount |
36174.49 |
Total Drug Medicare Standardized Payment Amount |
36174.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
8629 |
Number Of Medicare Beneficiaries With Medical Services |
2980 |
Total Medical Submitted Charge Amount |
2958765 |
Total Medical Medicare Allowed Amount |
877478.8 |
Total Medical Medicare Payment Amount |
663751.03 |
Total Medical Medicare Standardized Payment Amount |
697659.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
409 |
Number Of Beneficiaries Age 65 to 74 |
1189 |
Number Of Beneficiaries Age 75 to 84 |
1025 |
Number Of Beneficiaries Age Greater 84 |
357 |
Number Of Female Beneficiaries |
1644 |
Number Of Male Beneficiaries |
1336 |
Number Of Non Hispanic White Beneficiaries |
2346 |
Number Of Black or African American Beneficiaries |
569 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2062 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
918 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6016 |