National Provider Identifier [NPI]: |
1235105610 |
Last Name Of The Provider |
GREWAL |
First Name Of The Provider |
KARANBIR |
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 |
440 PLUMAS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915071 |
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 |
115 |
Number Of Services |
5001 |
Number Of Medicare Beneficiaries |
989 |
Total Submitted Charge Amount |
1850946 |
Total Medicare Allowed Amount |
509917.01 |
Total Medicare Payment Amount |
386652.6 |
Total Medicare Standardized Payment Amount |
374884.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1251 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
15628 |
Total Drug Medicare AllowedAmount |
8605.58 |
Total Drug Medicare PaymentAmount |
6746.69 |
Total Drug Medicare Standardized Payment Amount |
6746.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
3750 |
Number Of Medicare Beneficiaries With Medical Services |
989 |
Total Medical Submitted Charge Amount |
1835318 |
Total Medical Medicare Allowed Amount |
501311.43 |
Total Medical Medicare Payment Amount |
379905.91 |
Total Medical Medicare Standardized Payment Amount |
368138.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
366 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
509 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
750 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
67 |
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
331 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7851 |