National Provider Identifier [NPI]: |
1972572592 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
JAIDEEP |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 WEST OKLAHOMA AVE |
Street Address 2 Of The Provider |
ST. LUKE'S HOSPITAL/DEPT. OF RADIOLOGY |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
53215 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
3688 |
Number Of Medicare Beneficiaries |
2770 |
Total Submitted Charge Amount |
676068 |
Total Medicare Allowed Amount |
100690.95 |
Total Medicare Payment Amount |
74403.43 |
Total Medicare Standardized Payment Amount |
77788.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
3688 |
Number Of Medicare Beneficiaries With Medical Services |
2770 |
Total Medical Submitted Charge Amount |
676068 |
Total Medical Medicare Allowed Amount |
100690.95 |
Total Medical Medicare Payment Amount |
74403.43 |
Total Medical Medicare Standardized Payment Amount |
77788.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
533 |
Number Of Beneficiaries Age 65 to 74 |
899 |
Number Of Beneficiaries Age 75 to 84 |
789 |
Number Of Beneficiaries Age Greater 84 |
549 |
Number Of Female Beneficiaries |
1619 |
Number Of Male Beneficiaries |
1151 |
Number Of Non Hispanic White Beneficiaries |
2334 |
Number Of Black or African American Beneficiaries |
241 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
125 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1998 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
772 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0188 |