National Provider Identifier [NPI]: |
1912108176 |
Last Name Of The Provider |
NAIK |
First Name Of The Provider |
MANISHA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1205 LANGHORNE NEWTOWN RD |
Street Address 2 Of The Provider |
STE 406, ST MARY MEDICAL BUILD |
City Of The Provider |
LANGHORNE |
Zip Code Of The Provider |
190471219 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
961 |
Number Of Medicare Beneficiaries |
162 |
Total Submitted Charge Amount |
106040 |
Total Medicare Allowed Amount |
83897.15 |
Total Medicare Payment Amount |
64551.39 |
Total Medicare Standardized Payment Amount |
60974.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
318 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
16487 |
Total Drug Medicare AllowedAmount |
6770.9 |
Total Drug Medicare PaymentAmount |
5282.6 |
Total Drug Medicare Standardized Payment Amount |
5282.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
643 |
Number Of Medicare Beneficiaries With Medical Services |
162 |
Total Medical Submitted Charge Amount |
89553 |
Total Medical Medicare Allowed Amount |
77126.25 |
Total Medical Medicare Payment Amount |
59268.79 |
Total Medical Medicare Standardized Payment Amount |
55691.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
58 |
Number Of Non Hispanic White Beneficiaries |
147 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
139 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5427 |