National Provider Identifier [NPI]: |
1013128073 |
Last Name Of The Provider |
PARIKH |
First Name Of The Provider |
SACHIN |
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 |
1365 CLIFTON RD NE |
Street Address 2 Of The Provider |
BREAST IMAGING CENTER, WINSHIP C |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303221013 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
4106 |
Number Of Medicare Beneficiaries |
2425 |
Total Submitted Charge Amount |
620795.6 |
Total Medicare Allowed Amount |
92156.17 |
Total Medicare Payment Amount |
73002.49 |
Total Medicare Standardized Payment Amount |
74100.6 |
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 |
141 |
Number Of Medical Services |
4106 |
Number Of Medicare Beneficiaries With Medical Services |
2425 |
Total Medical Submitted Charge Amount |
620795.6 |
Total Medical Medicare Allowed Amount |
92156.17 |
Total Medical Medicare Payment Amount |
73002.49 |
Total Medical Medicare Standardized Payment Amount |
74100.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
379 |
Number Of Beneficiaries Age 65 to 74 |
866 |
Number Of Beneficiaries Age 75 to 84 |
692 |
Number Of Beneficiaries Age Greater 84 |
488 |
Number Of Female Beneficiaries |
1644 |
Number Of Male Beneficiaries |
781 |
Number Of Non Hispanic White Beneficiaries |
1628 |
Number Of Black or African American Beneficiaries |
309 |
Number Of AsianPacific Islander Beneficiaries |
100 |
Number Of Hispanic Beneficiaries |
357 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1804 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
621 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7379 |