National Provider Identifier [NPI]: |
1306810452 |
Last Name Of The Provider |
NAVADIA |
First Name Of The Provider |
SANJAY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11373 CORTEZ BLVD |
Street Address 2 Of The Provider |
#206 |
City Of The Provider |
BROOKSVILLE |
Zip Code Of The Provider |
346135414 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
4718 |
Number Of Medicare Beneficiaries |
768 |
Total Submitted Charge Amount |
454618.12 |
Total Medicare Allowed Amount |
320451.23 |
Total Medicare Payment Amount |
243011.61 |
Total Medicare Standardized Payment Amount |
243276.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
239 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
6403.96 |
Total Drug Medicare AllowedAmount |
2928.16 |
Total Drug Medicare PaymentAmount |
2826.47 |
Total Drug Medicare Standardized Payment Amount |
2826.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4479 |
Number Of Medicare Beneficiaries With Medical Services |
768 |
Total Medical Submitted Charge Amount |
448214.16 |
Total Medical Medicare Allowed Amount |
317523.07 |
Total Medical Medicare Payment Amount |
240185.14 |
Total Medical Medicare Standardized Payment Amount |
240449.83 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
403 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
688 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6566 |