National Provider Identifier [NPI]: |
1033163241 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
AMIT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15300 WEST AVENUE |
Street Address 2 Of The Provider |
SUITE 223 SOUTH |
City Of The Provider |
ORLAND PARK |
Zip Code Of The Provider |
60462 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
3485 |
Number Of Medicare Beneficiaries |
802 |
Total Submitted Charge Amount |
372694 |
Total Medicare Allowed Amount |
245936.58 |
Total Medicare Payment Amount |
173557.53 |
Total Medicare Standardized Payment Amount |
164948.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
237 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
12431 |
Total Drug Medicare AllowedAmount |
5870.68 |
Total Drug Medicare PaymentAmount |
5567.99 |
Total Drug Medicare Standardized Payment Amount |
5567.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3248 |
Number Of Medicare Beneficiaries With Medical Services |
801 |
Total Medical Submitted Charge Amount |
360263 |
Total Medical Medicare Allowed Amount |
240065.9 |
Total Medical Medicare Payment Amount |
167989.54 |
Total Medical Medicare Standardized Payment Amount |
159380.38 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
448 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
771 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
775 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0906 |