Medicare Facts for Dr. Pravinchandra O. Gohel, MD


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

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