Medicare Facts for Dr. Prashanth R. Palwai, MD


National Provider Identifier [NPI]: 1225071855
Last Name Of The Provider PALWAI
First Name Of The Provider PRASHANTH
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 22999 HIGHWAY 59 N
Street Address 2 Of The Provider SUITE 230
City Of The Provider KINGWOOD
Zip Code Of The Provider 773394412
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 29
Number Of Services 14583
Number Of Medicare Beneficiaries 322
Total Submitted Charge Amount 1380234.5
Total Medicare Allowed Amount 551505.12
Total Medicare Payment Amount 395784.35
Total Medicare Standardized Payment Amount 405018.19
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 13305
Number Of Medicare Beneficiaries With Drug Services 63
Total Drug Submitted ChargeAmount 1173939.5
Total Drug Medicare AllowedAmount 438842.82
Total Drug Medicare PaymentAmount 317189.23
Total Drug Medicare Standardized Payment Amount 317189.23
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 1278
Number Of Medicare Beneficiaries With Medical Services 322
Total Medical Submitted Charge Amount 206295
Total Medical Medicare Allowed Amount 112662.3
Total Medical Medicare Payment Amount 78595.12
Total Medical Medicare Standardized Payment Amount 87828.96
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 52
Number Of Beneficiaries Age 65 to 74 160
Number Of Beneficiaries Age 75 to 84 88
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 237
Number Of Male Beneficiaries 85
Number Of Non Hispanic White Beneficiaries 255
Number Of Black or African American Beneficiaries 34
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 301
Number Of Beneficiaries With Medicare Medicaid Entitlement 21
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 10
Percent Of With Cancer 5
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 22
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.27

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