National Provider Identifier [NPI]: |
1316926736 |
Last Name Of The Provider |
GOHEL |
First Name Of The Provider |
PRAVINCHANDRA |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34453 KING STREET ROW |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199584787 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
7639 |
Number Of Medicare Beneficiaries |
1713 |
Total Submitted Charge Amount |
1118701.74 |
Total Medicare Allowed Amount |
594469.18 |
Total Medicare Payment Amount |
450295.62 |
Total Medicare Standardized Payment Amount |
441439.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
709 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
59551 |
Total Drug Medicare AllowedAmount |
31603.35 |
Total Drug Medicare PaymentAmount |
24777.04 |
Total Drug Medicare Standardized Payment Amount |
24777.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
6930 |
Number Of Medicare Beneficiaries With Medical Services |
1713 |
Total Medical Submitted Charge Amount |
1059150.74 |
Total Medical Medicare Allowed Amount |
562865.83 |
Total Medical Medicare Payment Amount |
425518.58 |
Total Medical Medicare Standardized Payment Amount |
416662.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
759 |
Number Of Beneficiaries Age 75 to 84 |
537 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
867 |
Number Of Male Beneficiaries |
846 |
Number Of Non Hispanic White Beneficiaries |
1551 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.468 |