National Provider Identifier [NPI]: |
1619916095 |
Last Name Of The Provider |
JASWAL |
First Name Of The Provider |
PARMINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 N MICHIGAN AVE |
Street Address 2 Of The Provider |
SUITE 5 |
City Of The Provider |
SAGINAW |
Zip Code Of The Provider |
486024751 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4727 |
Number Of Medicare Beneficiaries |
521 |
Total Submitted Charge Amount |
287043 |
Total Medicare Allowed Amount |
213170.1 |
Total Medicare Payment Amount |
154870.01 |
Total Medicare Standardized Payment Amount |
161191.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
967 |
Number Of Medicare Beneficiaries With Drug Services |
323 |
Total Drug Submitted ChargeAmount |
17998 |
Total Drug Medicare AllowedAmount |
14597.86 |
Total Drug Medicare PaymentAmount |
13942.35 |
Total Drug Medicare Standardized Payment Amount |
13942.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3760 |
Number Of Medicare Beneficiaries With Medical Services |
521 |
Total Medical Submitted Charge Amount |
269045 |
Total Medical Medicare Allowed Amount |
198572.24 |
Total Medical Medicare Payment Amount |
140927.66 |
Total Medical Medicare Standardized Payment Amount |
147249.1 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
452 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9584 |