National Provider Identifier [NPI]: |
1245249887 |
Last Name Of The Provider |
GUPTA |
First Name Of The Provider |
AKSHEY |
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 |
300 W SAINT MARY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAFAYETTE |
Zip Code Of The Provider |
705064638 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
7124 |
Number Of Medicare Beneficiaries |
1356 |
Total Submitted Charge Amount |
1422861 |
Total Medicare Allowed Amount |
480926.27 |
Total Medicare Payment Amount |
365851.11 |
Total Medicare Standardized Payment Amount |
385390.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
870 |
Total Drug Medicare AllowedAmount |
599.35 |
Total Drug Medicare PaymentAmount |
586.33 |
Total Drug Medicare Standardized Payment Amount |
586.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
7102 |
Number Of Medicare Beneficiaries With Medical Services |
1356 |
Total Medical Submitted Charge Amount |
1421991 |
Total Medical Medicare Allowed Amount |
480326.92 |
Total Medical Medicare Payment Amount |
365264.78 |
Total Medical Medicare Standardized Payment Amount |
384803.9 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
366 |
Number Of Beneficiaries Age 65 to 74 |
469 |
Number Of Beneficiaries Age 75 to 84 |
373 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
682 |
Number Of Male Beneficiaries |
674 |
Number Of Non Hispanic White Beneficiaries |
698 |
Number Of Black or African American Beneficiaries |
601 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
619 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
3.518 |