Medicare Facts for Dr. Dharmesh Babaria, MD


National Provider Identifier [NPI]: 1053421206
Last Name Of The Provider BABARIA
First Name Of The Provider DHARMESH
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 2116 CRAIG RD
Street Address 2 Of The Provider
City Of The Provider EAU CLAIRE
Zip Code Of The Provider 547016149
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 108
Number Of Services 2795
Number Of Medicare Beneficiaries 324
Total Submitted Charge Amount 230909.28
Total Medicare Allowed Amount 72441.36
Total Medicare Payment Amount 51053.73
Total Medicare Standardized Payment Amount 53094.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 1402
Number Of Medicare Beneficiaries With Drug Services 96
Total Drug Submitted ChargeAmount 5741.2
Total Drug Medicare AllowedAmount 3830.6
Total Drug Medicare PaymentAmount 3546.48
Total Drug Medicare Standardized Payment Amount 3546.48
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 93
Number Of Medical Services 1393
Number Of Medicare Beneficiaries With Medical Services 324
Total Medical Submitted Charge Amount 225168.08
Total Medical Medicare Allowed Amount 68610.76
Total Medical Medicare Payment Amount 47507.25
Total Medical Medicare Standardized Payment Amount 49548.35
Average Age Of Beneficiaries 62
Number Of Beneficiaries Age Less65 141
Number Of Beneficiaries Age 65 to 74 116
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 139
Number Of Male Beneficiaries 185
Number Of Non Hispanic White Beneficiaries 307
Number Of Black or African American Beneficiaries 0
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 164
Number Of Beneficiaries With Medicare Medicaid Entitlement 160
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 6
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 30
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 48
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.106

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