National Provider Identifier [NPI]: |
1972585883 |
Last Name Of The Provider |
DESHMUKH |
First Name Of The Provider |
YUSUF |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1107 WOODLAND DR |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
ELIZABETHTOWN |
Zip Code Of The Provider |
427012789 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
74854.5 |
Number Of Medicare Beneficiaries |
468 |
Total Submitted Charge Amount |
6268265.86 |
Total Medicare Allowed Amount |
1536780.49 |
Total Medicare Payment Amount |
1199215.4 |
Total Medicare Standardized Payment Amount |
1243340.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
59193.5 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
4044112.5 |
Total Drug Medicare AllowedAmount |
979246.74 |
Total Drug Medicare PaymentAmount |
766405.62 |
Total Drug Medicare Standardized Payment Amount |
766405.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
15661 |
Number Of Medicare Beneficiaries With Medical Services |
468 |
Total Medical Submitted Charge Amount |
2224153.36 |
Total Medical Medicare Allowed Amount |
557533.75 |
Total Medical Medicare Payment Amount |
432809.78 |
Total Medical Medicare Standardized Payment Amount |
476935.35 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
400 |
Number Of Black or African American Beneficiaries |
56 |
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 |
347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
34 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9932 |