National Provider Identifier [NPI]: |
1851499800 |
Last Name Of The Provider |
GOGIA |
First Name Of The Provider |
HARMOHINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1211 W LA PALMA AVE |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
ANAHEIM |
Zip Code Of The Provider |
928012815 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1175 |
Number Of Medicare Beneficiaries |
266 |
Total Submitted Charge Amount |
192093.29 |
Total Medicare Allowed Amount |
118361.54 |
Total Medicare Payment Amount |
90798.49 |
Total Medicare Standardized Payment Amount |
83254.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
645 |
Total Drug Medicare AllowedAmount |
327.96 |
Total Drug Medicare PaymentAmount |
321.42 |
Total Drug Medicare Standardized Payment Amount |
321.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1160 |
Number Of Medicare Beneficiaries With Medical Services |
266 |
Total Medical Submitted Charge Amount |
191448.29 |
Total Medical Medicare Allowed Amount |
118033.58 |
Total Medical Medicare Payment Amount |
90477.07 |
Total Medical Medicare Standardized Payment Amount |
82933.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
86 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
145 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
151 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8473 |