National Provider Identifier [NPI]: |
1760472328 |
Last Name Of The Provider |
LAHIRI |
First Name Of The Provider |
KAMALESH |
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 |
18500 W 12 MILE RD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
SOUTHFIELD |
Zip Code Of The Provider |
480762674 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
1774 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
169796 |
Total Medicare Allowed Amount |
151387.19 |
Total Medicare Payment Amount |
116928.94 |
Total Medicare Standardized Payment Amount |
115437.58 |
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 |
14 |
Number Of Medical Services |
1774 |
Number Of Medicare Beneficiaries With Medical Services |
260 |
Total Medical Submitted Charge Amount |
169796 |
Total Medical Medicare Allowed Amount |
151387.19 |
Total Medical Medicare Payment Amount |
116928.94 |
Total Medical Medicare Standardized Payment Amount |
115437.58 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
48 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
162 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
177 |
Number Of Black or African American Beneficiaries |
|
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 |
202 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
38 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.1151 |