National Provider Identifier [NPI]: |
1467647479 |
Last Name Of The Provider |
JAIN |
First Name Of The Provider |
NEETA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
812 |
Number Of Medicare Beneficiaries |
280 |
Total Submitted Charge Amount |
174007 |
Total Medicare Allowed Amount |
85055.05 |
Total Medicare Payment Amount |
63812.79 |
Total Medicare Standardized Payment Amount |
54850.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
3884 |
Total Drug Medicare AllowedAmount |
3689.81 |
Total Drug Medicare PaymentAmount |
3615.25 |
Total Drug Medicare Standardized Payment Amount |
3615.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
736 |
Number Of Medicare Beneficiaries With Medical Services |
280 |
Total Medical Submitted Charge Amount |
170123 |
Total Medical Medicare Allowed Amount |
81365.24 |
Total Medical Medicare Payment Amount |
60197.54 |
Total Medical Medicare Standardized Payment Amount |
51235.6 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
250 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0445 |