National Provider Identifier [NPI]: |
1326140435 |
Last Name Of The Provider |
GOKHALE |
First Name Of The Provider |
RAHUL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4115 FAIRVIEW AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOWNERS GROVE |
Zip Code Of The Provider |
605152268 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
9470 |
Number Of Medicare Beneficiaries |
757 |
Total Submitted Charge Amount |
1198323.25 |
Total Medicare Allowed Amount |
377838.6 |
Total Medicare Payment Amount |
285286.89 |
Total Medicare Standardized Payment Amount |
251063.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4547 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
121632 |
Total Drug Medicare AllowedAmount |
41395.79 |
Total Drug Medicare PaymentAmount |
32260.16 |
Total Drug Medicare Standardized Payment Amount |
32260.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
4923 |
Number Of Medicare Beneficiaries With Medical Services |
757 |
Total Medical Submitted Charge Amount |
1076691.25 |
Total Medical Medicare Allowed Amount |
336442.81 |
Total Medical Medicare Payment Amount |
253026.73 |
Total Medical Medicare Standardized Payment Amount |
218803.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
664 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1259 |