National Provider Identifier [NPI]: |
1356318752 |
Last Name Of The Provider |
PILLAI |
First Name Of The Provider |
REKHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3950 NEW COVINGTON PIKE |
Street Address 2 Of The Provider |
STE 270 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
38128 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
12385 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
936141.3 |
Total Medicare Allowed Amount |
347853.54 |
Total Medicare Payment Amount |
257357.47 |
Total Medicare Standardized Payment Amount |
273263.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
9951 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
271460.3 |
Total Drug Medicare AllowedAmount |
122283.63 |
Total Drug Medicare PaymentAmount |
93857.45 |
Total Drug Medicare Standardized Payment Amount |
93857.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2434 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
664681 |
Total Medical Medicare Allowed Amount |
225569.91 |
Total Medical Medicare Payment Amount |
163500.02 |
Total Medical Medicare Standardized Payment Amount |
179406.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
450 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
145 |
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 |
637 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.5279 |