National Provider Identifier [NPI]: |
1548258924 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
ROHIT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1183 S HAIRSTON RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
STONE MOUNTAIN |
Zip Code Of The Provider |
300882796 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
4626 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
406693 |
Total Medicare Allowed Amount |
211203.1 |
Total Medicare Payment Amount |
162671.14 |
Total Medicare Standardized Payment Amount |
163014.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
162 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
8240 |
Total Drug Medicare AllowedAmount |
3191.8 |
Total Drug Medicare PaymentAmount |
3109.08 |
Total Drug Medicare Standardized Payment Amount |
3109.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
4464 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
398453 |
Total Medical Medicare Allowed Amount |
208011.3 |
Total Medical Medicare Payment Amount |
159562.06 |
Total Medical Medicare Standardized Payment Amount |
159905.14 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
90 |
Number Of Non Hispanic White Beneficiaries |
27 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
29 |
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 |
87 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
112 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5357 |