National Provider Identifier [NPI]: |
1306054150 |
Last Name Of The Provider |
SONI |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9940 TALBERT AVE STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FOUNTAIN VALLEY |
Zip Code Of The Provider |
927085153 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
8990 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
742061.72 |
Total Medicare Allowed Amount |
456811.83 |
Total Medicare Payment Amount |
354782.1 |
Total Medicare Standardized Payment Amount |
322253.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3835 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
33735 |
Total Drug Medicare AllowedAmount |
18907.26 |
Total Drug Medicare PaymentAmount |
14828.17 |
Total Drug Medicare Standardized Payment Amount |
14828.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5155 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
708326.72 |
Total Medical Medicare Allowed Amount |
437904.57 |
Total Medical Medicare Payment Amount |
339953.93 |
Total Medical Medicare Standardized Payment Amount |
307425.76 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
375 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
315 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
59 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.7774 |