National Provider Identifier [NPI]: |
1467494385 |
Last Name Of The Provider |
JAIN |
First Name Of The Provider |
SHARAD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3720 S I-35 E |
Street Address 2 Of The Provider |
|
City Of The Provider |
DENTON |
Zip Code Of The Provider |
762106857 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
132312 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
8287032 |
Total Medicare Allowed Amount |
2308923.17 |
Total Medicare Payment Amount |
1812221.03 |
Total Medicare Standardized Payment Amount |
1827408.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
120488 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
6324367 |
Total Drug Medicare AllowedAmount |
1791395.03 |
Total Drug Medicare PaymentAmount |
1403071.7 |
Total Drug Medicare Standardized Payment Amount |
1403071.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
11824 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
1962665 |
Total Medical Medicare Allowed Amount |
517528.14 |
Total Medical Medicare Payment Amount |
409149.33 |
Total Medical Medicare Standardized Payment Amount |
424336.78 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
417 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8634 |