National Provider Identifier [NPI]: |
1194777318 |
Last Name Of The Provider |
MANIAN |
First Name Of The Provider |
PRASAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6624 FANNIN ST |
Street Address 2 Of The Provider |
SUITE 1730 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302312 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5456 |
Number Of Medicare Beneficiaries |
1185 |
Total Submitted Charge Amount |
1062092 |
Total Medicare Allowed Amount |
455779.01 |
Total Medicare Payment Amount |
350419.1 |
Total Medicare Standardized Payment Amount |
350937.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
463 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
13985 |
Total Drug Medicare AllowedAmount |
12516.16 |
Total Drug Medicare PaymentAmount |
9986.86 |
Total Drug Medicare Standardized Payment Amount |
9986.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4993 |
Number Of Medicare Beneficiaries With Medical Services |
1185 |
Total Medical Submitted Charge Amount |
1048107 |
Total Medical Medicare Allowed Amount |
443262.85 |
Total Medical Medicare Payment Amount |
340432.24 |
Total Medical Medicare Standardized Payment Amount |
340951.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
584 |
Number Of Non Hispanic White Beneficiaries |
803 |
Number Of Black or African American Beneficiaries |
225 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
111 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
991 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5095 |