National Provider Identifier [NPI]: |
1306828330 |
Last Name Of The Provider |
JAWAHAR |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
807 S BRADFORD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199044137 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
11443 |
Number Of Medicare Beneficiaries |
1895 |
Total Submitted Charge Amount |
1282260 |
Total Medicare Allowed Amount |
697882.79 |
Total Medicare Payment Amount |
513489.89 |
Total Medicare Standardized Payment Amount |
509740.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1896 |
Total Drug Medicare AllowedAmount |
1039.62 |
Total Drug Medicare PaymentAmount |
959.19 |
Total Drug Medicare Standardized Payment Amount |
959.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
11274 |
Number Of Medicare Beneficiaries With Medical Services |
1895 |
Total Medical Submitted Charge Amount |
1280364 |
Total Medical Medicare Allowed Amount |
696843.17 |
Total Medical Medicare Payment Amount |
512530.7 |
Total Medical Medicare Standardized Payment Amount |
508781.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
347 |
Number Of Beneficiaries Age 65 to 74 |
872 |
Number Of Beneficiaries Age 75 to 84 |
546 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
1049 |
Number Of Male Beneficiaries |
846 |
Number Of Non Hispanic White Beneficiaries |
1411 |
Number Of Black or African American Beneficiaries |
399 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1539 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
356 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.714 |