National Provider Identifier [NPI]: |
1629011135 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
SATISH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2717 MICHAEL ANGELO |
Street Address 2 Of The Provider |
# 302 |
City Of The Provider |
EDINBURG |
Zip Code Of The Provider |
785391408 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
17956 |
Number Of Medicare Beneficiaries |
245 |
Total Submitted Charge Amount |
888467.46 |
Total Medicare Allowed Amount |
338568.74 |
Total Medicare Payment Amount |
251210.69 |
Total Medicare Standardized Payment Amount |
252592.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
30 |
Number Of Drug Services |
16075 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
531993.76 |
Total Drug Medicare AllowedAmount |
199857.63 |
Total Drug Medicare PaymentAmount |
146917.5 |
Total Drug Medicare Standardized Payment Amount |
146917.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1881 |
Number Of Medicare Beneficiaries With Medical Services |
245 |
Total Medical Submitted Charge Amount |
356473.7 |
Total Medical Medicare Allowed Amount |
138711.11 |
Total Medical Medicare Payment Amount |
104293.19 |
Total Medical Medicare Standardized Payment Amount |
105675.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
112 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
202 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
80 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.408 |