National Provider Identifier [NPI]: |
1700897451 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
GOVINDAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4820 5TH AVE N |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337137218 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3657 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
358537.24 |
Total Medicare Allowed Amount |
272986.87 |
Total Medicare Payment Amount |
206058.28 |
Total Medicare Standardized Payment Amount |
205490.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
5910 |
Total Drug Medicare AllowedAmount |
2736.39 |
Total Drug Medicare PaymentAmount |
2674.31 |
Total Drug Medicare Standardized Payment Amount |
2674.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3479 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
352627.24 |
Total Medical Medicare Allowed Amount |
270250.48 |
Total Medical Medicare Payment Amount |
203383.97 |
Total Medical Medicare Standardized Payment Amount |
202815.74 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2434 |