National Provider Identifier [NPI]: |
1942317219 |
Last Name Of The Provider |
SRIVASTAVA |
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 |
2727 PLAZA DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WAUSAU |
Zip Code Of The Provider |
54401 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
3353 |
Number Of Medicare Beneficiaries |
1378 |
Total Submitted Charge Amount |
2381281.1 |
Total Medicare Allowed Amount |
270524.75 |
Total Medicare Payment Amount |
201041.21 |
Total Medicare Standardized Payment Amount |
214216.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
9510.39 |
Total Drug Medicare AllowedAmount |
3007.51 |
Total Drug Medicare PaymentAmount |
2360.26 |
Total Drug Medicare Standardized Payment Amount |
2360.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
3295 |
Number Of Medicare Beneficiaries With Medical Services |
1378 |
Total Medical Submitted Charge Amount |
2371770.71 |
Total Medical Medicare Allowed Amount |
267517.24 |
Total Medical Medicare Payment Amount |
198680.95 |
Total Medical Medicare Standardized Payment Amount |
211855.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
502 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
689 |
Number Of Male Beneficiaries |
689 |
Number Of Non Hispanic White Beneficiaries |
1300 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1024 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8007 |