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 |