National Provider Identifier [NPI]: |
1508836727 |
Last Name Of The Provider |
SONI |
First Name Of The Provider |
BIKRAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 HIGH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SELMA |
Zip Code Of The Provider |
936623512 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
14212 |
Number Of Medicare Beneficiaries |
879 |
Total Submitted Charge Amount |
1169030 |
Total Medicare Allowed Amount |
498315.9 |
Total Medicare Payment Amount |
387449.55 |
Total Medicare Standardized Payment Amount |
373802.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10587 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
152060 |
Total Drug Medicare AllowedAmount |
23985.35 |
Total Drug Medicare PaymentAmount |
18799.9 |
Total Drug Medicare Standardized Payment Amount |
18799.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3625 |
Number Of Medicare Beneficiaries With Medical Services |
879 |
Total Medical Submitted Charge Amount |
1016970 |
Total Medical Medicare Allowed Amount |
474330.55 |
Total Medical Medicare Payment Amount |
368649.65 |
Total Medical Medicare Standardized Payment Amount |
355002.81 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
54 |
Number Of Hispanic Beneficiaries |
512 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
579 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5639 |