National Provider Identifier [NPI]: |
1881668119 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
VINAY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 N WASHINGTON ST |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208502223 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
13153 |
Number Of Medicare Beneficiaries |
964 |
Total Submitted Charge Amount |
2277718.15 |
Total Medicare Allowed Amount |
1591816.11 |
Total Medicare Payment Amount |
1219253.09 |
Total Medicare Standardized Payment Amount |
1120103.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1323 |
Number Of Medicare Beneficiaries With Drug Services |
183 |
Total Drug Submitted ChargeAmount |
550292.15 |
Total Drug Medicare AllowedAmount |
521412.47 |
Total Drug Medicare PaymentAmount |
408713.97 |
Total Drug Medicare Standardized Payment Amount |
408713.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
11830 |
Number Of Medicare Beneficiaries With Medical Services |
964 |
Total Medical Submitted Charge Amount |
1727426 |
Total Medical Medicare Allowed Amount |
1070403.64 |
Total Medical Medicare Payment Amount |
810539.12 |
Total Medical Medicare Standardized Payment Amount |
711389.31 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
585 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
614 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
85 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
836 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3448 |