National Provider Identifier [NPI]: |
1245325570 |
Last Name Of The Provider |
SOLANKI |
First Name Of The Provider |
KALPESH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3515 SE 17TH ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344715586 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
195 |
Number Of Services |
16611 |
Number Of Medicare Beneficiaries |
1075 |
Total Submitted Charge Amount |
2808578.35 |
Total Medicare Allowed Amount |
1274110.5 |
Total Medicare Payment Amount |
985226.86 |
Total Medicare Standardized Payment Amount |
981063.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
8577 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
59320.35 |
Total Drug Medicare AllowedAmount |
29349.72 |
Total Drug Medicare PaymentAmount |
22790.53 |
Total Drug Medicare Standardized Payment Amount |
22790.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
191 |
Number Of Medical Services |
8034 |
Number Of Medicare Beneficiaries With Medical Services |
1075 |
Total Medical Submitted Charge Amount |
2749258 |
Total Medical Medicare Allowed Amount |
1244760.78 |
Total Medical Medicare Payment Amount |
962436.33 |
Total Medical Medicare Standardized Payment Amount |
958272.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
412 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
555 |
Number Of Non Hispanic White Beneficiaries |
963 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
881 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7765 |