National Provider Identifier [NPI]: |
1932110277 |
Last Name Of The Provider |
DESAI |
First Name Of The Provider |
DIRGHAYU |
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 |
3703 COUNTY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTSMOUTH |
Zip Code Of The Provider |
237073113 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2291 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
266815 |
Total Medicare Allowed Amount |
179252.69 |
Total Medicare Payment Amount |
134160.87 |
Total Medicare Standardized Payment Amount |
136681.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
1545 |
Total Drug Medicare AllowedAmount |
995.44 |
Total Drug Medicare PaymentAmount |
975.42 |
Total Drug Medicare Standardized Payment Amount |
975.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2234 |
Number Of Medicare Beneficiaries With Medical Services |
602 |
Total Medical Submitted Charge Amount |
265270 |
Total Medical Medicare Allowed Amount |
178257.25 |
Total Medical Medicare Payment Amount |
133185.45 |
Total Medical Medicare Standardized Payment Amount |
135705.67 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
288 |
Number Of Black or African American Beneficiaries |
297 |
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 |
441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.1759 |