National Provider Identifier [NPI]: |
1053306027 |
Last Name Of The Provider |
PARTI |
First Name Of The Provider |
AVINASH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6969 GULF FREEWAY, SUITE 370 |
Street Address 2 Of The Provider |
DOCTORS CLINIC HOUSTON |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
77087 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
913 |
Number Of Medicare Beneficiaries |
184 |
Total Submitted Charge Amount |
52378.96 |
Total Medicare Allowed Amount |
45662.25 |
Total Medicare Payment Amount |
28493.15 |
Total Medicare Standardized Payment Amount |
29345.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1319.76 |
Total Drug Medicare AllowedAmount |
556.15 |
Total Drug Medicare PaymentAmount |
528.57 |
Total Drug Medicare Standardized Payment Amount |
528.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
830 |
Number Of Medicare Beneficiaries With Medical Services |
184 |
Total Medical Submitted Charge Amount |
51059.2 |
Total Medical Medicare Allowed Amount |
45106.1 |
Total Medical Medicare Payment Amount |
27964.58 |
Total Medical Medicare Standardized Payment Amount |
28816.91 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
28 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
97 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
67 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
1.0531 |