National Provider Identifier [NPI]: |
1205842580 |
Last Name Of The Provider |
TSELIKIS |
First Name Of The Provider |
NICHOLAS |
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 |
3150 N TENAYA WAY |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891280443 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
27241 |
Number Of Medicare Beneficiaries |
1281 |
Total Submitted Charge Amount |
3684245 |
Total Medicare Allowed Amount |
1145741.5 |
Total Medicare Payment Amount |
858283.31 |
Total Medicare Standardized Payment Amount |
853490.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
18839 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
121932 |
Total Drug Medicare AllowedAmount |
46302.76 |
Total Drug Medicare PaymentAmount |
34761.6 |
Total Drug Medicare Standardized Payment Amount |
34761.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
8402 |
Number Of Medicare Beneficiaries With Medical Services |
1281 |
Total Medical Submitted Charge Amount |
3562313 |
Total Medical Medicare Allowed Amount |
1099438.74 |
Total Medical Medicare Payment Amount |
823521.71 |
Total Medical Medicare Standardized Payment Amount |
818729.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
619 |
Number Of Male Beneficiaries |
662 |
Number Of Non Hispanic White Beneficiaries |
957 |
Number Of Black or African American Beneficiaries |
162 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1072 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.729 |