National Provider Identifier [NPI]: |
1609982248 |
Last Name Of The Provider |
NAIK |
First Name Of The Provider |
MUKESH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1001 NUT TREE RD |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
VACAVILLE |
Zip Code Of The Provider |
956874166 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3312 |
Number Of Medicare Beneficiaries |
476 |
Total Submitted Charge Amount |
435780 |
Total Medicare Allowed Amount |
303555.01 |
Total Medicare Payment Amount |
228879.27 |
Total Medicare Standardized Payment Amount |
210265.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
2842 |
Total Drug Medicare AllowedAmount |
756.93 |
Total Drug Medicare PaymentAmount |
724.86 |
Total Drug Medicare Standardized Payment Amount |
724.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3248 |
Number Of Medicare Beneficiaries With Medical Services |
476 |
Total Medical Submitted Charge Amount |
432938 |
Total Medical Medicare Allowed Amount |
302798.08 |
Total Medical Medicare Payment Amount |
228154.41 |
Total Medical Medicare Standardized Payment Amount |
209540.29 |
Average Age Of Beneficiaries |
53 |
Number Of Beneficiaries Age Less65 |
331 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
244 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
350 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
166 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
62 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1075 |