National Provider Identifier [NPI]: |
1134181613 |
Last Name Of The Provider |
LAKHANI |
First Name Of The Provider |
SHANKAR |
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 |
200 BANNING ST STE 280 |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199043489 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
6506 |
Number Of Medicare Beneficiaries |
207 |
Total Submitted Charge Amount |
147248 |
Total Medicare Allowed Amount |
89068.62 |
Total Medicare Payment Amount |
66827.27 |
Total Medicare Standardized Payment Amount |
65945.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
282 |
Total Drug Medicare PaymentAmount |
276.4 |
Total Drug Medicare Standardized Payment Amount |
276.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
6486 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
146648 |
Total Medical Medicare Allowed Amount |
88786.62 |
Total Medical Medicare Payment Amount |
66550.87 |
Total Medical Medicare Standardized Payment Amount |
65669.32 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
70 |
Number Of Non Hispanic White Beneficiaries |
149 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
47 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.993 |