National Provider Identifier [NPI]: |
1538116348 |
Last Name Of The Provider |
PAREKH |
First Name Of The Provider |
ANISHA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8 VISTA DR |
Street Address 2 Of The Provider |
EASTPORT NORTH BUSINESS PARK |
City Of The Provider |
OLD LYME |
Zip Code Of The Provider |
063711537 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
734 |
Number Of Medicare Beneficiaries |
171 |
Total Submitted Charge Amount |
66475 |
Total Medicare Allowed Amount |
48239.97 |
Total Medicare Payment Amount |
34904.31 |
Total Medicare Standardized Payment Amount |
33166.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
2130 |
Total Drug Medicare AllowedAmount |
1024.2 |
Total Drug Medicare PaymentAmount |
1003.79 |
Total Drug Medicare Standardized Payment Amount |
1003.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
684 |
Number Of Medicare Beneficiaries With Medical Services |
171 |
Total Medical Submitted Charge Amount |
64345 |
Total Medical Medicare Allowed Amount |
47215.77 |
Total Medical Medicare Payment Amount |
33900.52 |
Total Medical Medicare Standardized Payment Amount |
32162.29 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
8 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
11 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7545 |