National Provider Identifier [NPI]: |
1588648414 |
Last Name Of The Provider |
PAREKH |
First Name Of The Provider |
PARAS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2320 N DAMEN AVE |
Street Address 2 Of The Provider |
#1F |
City Of The Provider |
CHICAGO |
Zip Code Of The Provider |
606473367 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5412 |
Number Of Medicare Beneficiaries |
364 |
Total Submitted Charge Amount |
551310.94 |
Total Medicare Allowed Amount |
328267.45 |
Total Medicare Payment Amount |
254325.01 |
Total Medicare Standardized Payment Amount |
242304.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2208 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
107122.95 |
Total Drug Medicare AllowedAmount |
58316.94 |
Total Drug Medicare PaymentAmount |
45651.06 |
Total Drug Medicare Standardized Payment Amount |
45651.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3204 |
Number Of Medicare Beneficiaries With Medical Services |
364 |
Total Medical Submitted Charge Amount |
444187.99 |
Total Medical Medicare Allowed Amount |
269950.51 |
Total Medical Medicare Payment Amount |
208673.95 |
Total Medical Medicare Standardized Payment Amount |
196653.13 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
158 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
47 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
73 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4127 |