National Provider Identifier [NPI]: |
1033212915 |
Last Name Of The Provider |
MAHESHWARI |
First Name Of The Provider |
NEHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1343 N ALMA SCHOOL RD |
Street Address 2 Of The Provider |
205 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852245941 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
3884 |
Number Of Medicare Beneficiaries |
567 |
Total Submitted Charge Amount |
274087.23 |
Total Medicare Allowed Amount |
183059.23 |
Total Medicare Payment Amount |
139540.44 |
Total Medicare Standardized Payment Amount |
142175.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
88 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
866.34 |
Total Drug Medicare AllowedAmount |
180.19 |
Total Drug Medicare PaymentAmount |
135.57 |
Total Drug Medicare Standardized Payment Amount |
135.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
3796 |
Number Of Medicare Beneficiaries With Medical Services |
567 |
Total Medical Submitted Charge Amount |
273220.89 |
Total Medical Medicare Allowed Amount |
182879.04 |
Total Medical Medicare Payment Amount |
139404.87 |
Total Medical Medicare Standardized Payment Amount |
142039.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
272 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
311 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
490 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3563 |