National Provider Identifier [NPI]: |
1710023411 |
Last Name Of The Provider |
ADYANTHAYA |
First Name Of The Provider |
ROHIT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1309 E RIDGE RD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
785031517 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
7290 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
3186525 |
Total Medicare Allowed Amount |
1500790.27 |
Total Medicare Payment Amount |
1142245.03 |
Total Medicare Standardized Payment Amount |
1184581.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1525 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
919710 |
Total Drug Medicare AllowedAmount |
645104.72 |
Total Drug Medicare PaymentAmount |
489694.84 |
Total Drug Medicare Standardized Payment Amount |
489694.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
5765 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
2266815 |
Total Medical Medicare Allowed Amount |
855685.55 |
Total Medical Medicare Payment Amount |
652550.19 |
Total Medical Medicare Standardized Payment Amount |
694886.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
475 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
555 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
407 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9185 |