National Provider Identifier [NPI]: |
1609927276 |
Last Name Of The Provider |
GOWDA |
First Name Of The Provider |
SAVITHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
95 CHAPEL ST |
Street Address 2 Of The Provider |
SUITE 3A |
City Of The Provider |
NORWOOD |
Zip Code Of The Provider |
020623155 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
7832 |
Number Of Medicare Beneficiaries |
1022 |
Total Submitted Charge Amount |
1148207.92 |
Total Medicare Allowed Amount |
526322.34 |
Total Medicare Payment Amount |
398926.69 |
Total Medicare Standardized Payment Amount |
374324.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
438 |
Number Of Medicare Beneficiaries With Drug Services |
328 |
Total Drug Submitted ChargeAmount |
17227.4 |
Total Drug Medicare AllowedAmount |
7788.95 |
Total Drug Medicare PaymentAmount |
7527.04 |
Total Drug Medicare Standardized Payment Amount |
7527.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
7394 |
Number Of Medicare Beneficiaries With Medical Services |
1022 |
Total Medical Submitted Charge Amount |
1130980.52 |
Total Medical Medicare Allowed Amount |
518533.39 |
Total Medical Medicare Payment Amount |
391399.65 |
Total Medical Medicare Standardized Payment Amount |
366797.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
612 |
Number Of Male Beneficiaries |
410 |
Number Of Non Hispanic White Beneficiaries |
951 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
596 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
426 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4589 |