National Provider Identifier [NPI]: |
1770586646 |
Last Name Of The Provider |
AMIN |
First Name Of The Provider |
YOGESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8415 N PIMA RD. |
Street Address 2 Of The Provider |
STE 150 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852584534 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
19953 |
Number Of Medicare Beneficiaries |
743 |
Total Submitted Charge Amount |
792052 |
Total Medicare Allowed Amount |
396188.46 |
Total Medicare Payment Amount |
298312.71 |
Total Medicare Standardized Payment Amount |
303228.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17172 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
76512 |
Total Drug Medicare AllowedAmount |
37963.09 |
Total Drug Medicare PaymentAmount |
29404.23 |
Total Drug Medicare Standardized Payment Amount |
29404.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2781 |
Number Of Medicare Beneficiaries With Medical Services |
743 |
Total Medical Submitted Charge Amount |
715540 |
Total Medical Medicare Allowed Amount |
358225.37 |
Total Medical Medicare Payment Amount |
268908.48 |
Total Medical Medicare Standardized Payment Amount |
273824.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
301 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
640 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
640 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.0356 |