National Provider Identifier [NPI]: |
1265506703 |
Last Name Of The Provider |
PUROHIT |
First Name Of The Provider |
SURENDRA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
71207 HIGHWAY 21 |
Street Address 2 Of The Provider |
|
City Of The Provider |
COVINGTON |
Zip Code Of The Provider |
704337121 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
211 |
Number Of Services |
6206 |
Number Of Medicare Beneficiaries |
456 |
Total Submitted Charge Amount |
1979561 |
Total Medicare Allowed Amount |
669137.99 |
Total Medicare Payment Amount |
502905.24 |
Total Medicare Standardized Payment Amount |
543471.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
221 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
6825 |
Total Drug Medicare AllowedAmount |
1305.9 |
Total Drug Medicare PaymentAmount |
1204.72 |
Total Drug Medicare Standardized Payment Amount |
1204.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
206 |
Number Of Medical Services |
5985 |
Number Of Medicare Beneficiaries With Medical Services |
456 |
Total Medical Submitted Charge Amount |
1972736 |
Total Medical Medicare Allowed Amount |
667832.09 |
Total Medical Medicare Payment Amount |
501700.52 |
Total Medical Medicare Standardized Payment Amount |
542266.4 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
323 |
Number Of Black or African American Beneficiaries |
|
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 |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
32 |
Average HCC Risk Score Of Beneficiaries |
1.825 |