National Provider Identifier [NPI]: |
1982661674 |
Last Name Of The Provider |
SHRIKHANDE |
First Name Of The Provider |
SHUBHADA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12221 RENFERT WAY STE 300 |
Street Address 2 Of The Provider |
|
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787585453 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
244784 |
Number Of Medicare Beneficiaries |
774 |
Total Submitted Charge Amount |
4168635.53 |
Total Medicare Allowed Amount |
2359609.48 |
Total Medicare Payment Amount |
1827068.11 |
Total Medicare Standardized Payment Amount |
1822431.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
69 |
Number Of Drug Services |
227779 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
3101263.35 |
Total Drug Medicare AllowedAmount |
1818207.08 |
Total Drug Medicare PaymentAmount |
1390984.86 |
Total Drug Medicare Standardized Payment Amount |
1390984.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
17005 |
Number Of Medicare Beneficiaries With Medical Services |
774 |
Total Medical Submitted Charge Amount |
1067372.18 |
Total Medical Medicare Allowed Amount |
541402.4 |
Total Medical Medicare Payment Amount |
436083.25 |
Total Medical Medicare Standardized Payment Amount |
431446.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
596 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
684 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.501 |