National Provider Identifier [NPI]: |
1265520415 |
Last Name Of The Provider |
KASHYAP |
First Name Of The Provider |
GAURESH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
405 W GREENLAWN AVE |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
LANSING |
Zip Code Of The Provider |
489102898 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2854 |
Number Of Medicare Beneficiaries |
1013 |
Total Submitted Charge Amount |
384535 |
Total Medicare Allowed Amount |
209232.82 |
Total Medicare Payment Amount |
159385.52 |
Total Medicare Standardized Payment Amount |
167531.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
357 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
903 |
Total Drug Medicare AllowedAmount |
239.68 |
Total Drug Medicare PaymentAmount |
188.25 |
Total Drug Medicare Standardized Payment Amount |
188.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2497 |
Number Of Medicare Beneficiaries With Medical Services |
1013 |
Total Medical Submitted Charge Amount |
383632 |
Total Medical Medicare Allowed Amount |
208993.14 |
Total Medical Medicare Payment Amount |
159197.27 |
Total Medical Medicare Standardized Payment Amount |
167343.45 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
454 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
460 |
Number Of Non Hispanic White Beneficiaries |
882 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
825 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5498 |