National Provider Identifier [NPI]: |
1841491495 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
DEEPAK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 N CATTLEMEN RD |
Street Address 2 Of The Provider |
#220 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342326410 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
161 |
Number Of Services |
10535 |
Number Of Medicare Beneficiaries |
1642 |
Total Submitted Charge Amount |
2690654 |
Total Medicare Allowed Amount |
1181678.58 |
Total Medicare Payment Amount |
902485.8 |
Total Medicare Standardized Payment Amount |
926513.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6432 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
23941 |
Total Drug Medicare AllowedAmount |
10025.15 |
Total Drug Medicare PaymentAmount |
7829.59 |
Total Drug Medicare Standardized Payment Amount |
7829.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
4103 |
Number Of Medicare Beneficiaries With Medical Services |
1642 |
Total Medical Submitted Charge Amount |
2666713 |
Total Medical Medicare Allowed Amount |
1171653.43 |
Total Medical Medicare Payment Amount |
894656.21 |
Total Medical Medicare Standardized Payment Amount |
918683.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
605 |
Number Of Beneficiaries Age 75 to 84 |
582 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
839 |
Number Of Male Beneficiaries |
803 |
Number Of Non Hispanic White Beneficiaries |
1489 |
Number Of Black or African American Beneficiaries |
86 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9942 |