National Provider Identifier [NPI]: |
1245243716 |
Last Name Of The Provider |
THAKUR |
First Name Of The Provider |
DINESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2101 VALE RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SAN PABLO |
Zip Code Of The Provider |
948063835 |
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 |
49 |
Number Of Services |
3752 |
Number Of Medicare Beneficiaries |
1116 |
Total Submitted Charge Amount |
667218.5 |
Total Medicare Allowed Amount |
337441.78 |
Total Medicare Payment Amount |
253430.57 |
Total Medicare Standardized Payment Amount |
224130.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
543 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
16094 |
Total Drug Medicare AllowedAmount |
6749.98 |
Total Drug Medicare PaymentAmount |
5291.57 |
Total Drug Medicare Standardized Payment Amount |
5291.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3209 |
Number Of Medicare Beneficiaries With Medical Services |
1114 |
Total Medical Submitted Charge Amount |
651124.5 |
Total Medical Medicare Allowed Amount |
330691.8 |
Total Medical Medicare Payment Amount |
248139 |
Total Medical Medicare Standardized Payment Amount |
218839.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
143 |
Number Of Beneficiaries Age 65 to 74 |
390 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
251 |
Number Of Female Beneficiaries |
591 |
Number Of Male Beneficiaries |
525 |
Number Of Non Hispanic White Beneficiaries |
643 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
127 |
Number Of Hispanic Beneficiaries |
124 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8446 |