National Provider Identifier [NPI]: |
1841245917 |
Last Name Of The Provider |
MOHANTY |
First Name Of The Provider |
JYOTI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
927 45TH ST |
Street Address 2 Of The Provider |
STE 204 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
33407 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
9655 |
Number Of Medicare Beneficiaries |
1380 |
Total Submitted Charge Amount |
2527449.44 |
Total Medicare Allowed Amount |
1022096.47 |
Total Medicare Payment Amount |
772213.54 |
Total Medicare Standardized Payment Amount |
742558.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
852 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
112115 |
Total Drug Medicare AllowedAmount |
44889.35 |
Total Drug Medicare PaymentAmount |
34945.52 |
Total Drug Medicare Standardized Payment Amount |
34945.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
8803 |
Number Of Medicare Beneficiaries With Medical Services |
1380 |
Total Medical Submitted Charge Amount |
2415334.44 |
Total Medical Medicare Allowed Amount |
977207.12 |
Total Medical Medicare Payment Amount |
737268.02 |
Total Medical Medicare Standardized Payment Amount |
707613.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
533 |
Number Of Beneficiaries Age 75 to 84 |
413 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
659 |
Number Of Non Hispanic White Beneficiaries |
1018 |
Number Of Black or African American Beneficiaries |
269 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1035 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
345 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8906 |