National Provider Identifier [NPI]: |
1902991219 |
Last Name Of The Provider |
VOHRA |
First Name Of The Provider |
RAHUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2470 FLOWOOD DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLOWOOD |
Zip Code Of The Provider |
39232 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
875 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
239036.8 |
Total Medicare Allowed Amount |
96846.67 |
Total Medicare Payment Amount |
70965.16 |
Total Medicare Standardized Payment Amount |
80342.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1796.8 |
Total Drug Medicare AllowedAmount |
335.66 |
Total Drug Medicare PaymentAmount |
239.73 |
Total Drug Medicare Standardized Payment Amount |
239.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
812 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
237240 |
Total Medical Medicare Allowed Amount |
96511.01 |
Total Medical Medicare Payment Amount |
70725.43 |
Total Medical Medicare Standardized Payment Amount |
80103.21 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
352 |
Number Of Black or African American Beneficiaries |
|
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 |
343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8991 |