National Provider Identifier [NPI]: |
1245388412 |
Last Name Of The Provider |
POONIA |
First Name Of The Provider |
MOHINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7035 N CHESTNUT AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937200352 |
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 |
36 |
Number Of Services |
6641 |
Number Of Medicare Beneficiaries |
507 |
Total Submitted Charge Amount |
727481 |
Total Medicare Allowed Amount |
404071.84 |
Total Medicare Payment Amount |
296417.86 |
Total Medicare Standardized Payment Amount |
282663.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
433 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
6315 |
Total Drug Medicare AllowedAmount |
2282.04 |
Total Drug Medicare PaymentAmount |
2059 |
Total Drug Medicare Standardized Payment Amount |
2059 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
6208 |
Number Of Medicare Beneficiaries With Medical Services |
507 |
Total Medical Submitted Charge Amount |
721166 |
Total Medical Medicare Allowed Amount |
401789.8 |
Total Medical Medicare Payment Amount |
294358.86 |
Total Medical Medicare Standardized Payment Amount |
280604.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
171 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8043 |