National Provider Identifier [NPI]: |
1366550253 |
Last Name Of The Provider |
PAWAR |
First Name Of The Provider |
SANYUKTA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 W RANCH VIEW DR |
Street Address 2 Of The Provider |
SUITE 2005 |
City Of The Provider |
ROCKLIN |
Zip Code Of The Provider |
957655396 |
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 |
79 |
Number Of Services |
10122 |
Number Of Medicare Beneficiaries |
2066 |
Total Submitted Charge Amount |
523313 |
Total Medicare Allowed Amount |
273175.57 |
Total Medicare Payment Amount |
200203.51 |
Total Medicare Standardized Payment Amount |
193987.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2405 |
Number Of Medicare Beneficiaries With Drug Services |
373 |
Total Drug Submitted ChargeAmount |
66115 |
Total Drug Medicare AllowedAmount |
36513.38 |
Total Drug Medicare PaymentAmount |
30404.02 |
Total Drug Medicare Standardized Payment Amount |
30404.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
7717 |
Number Of Medicare Beneficiaries With Medical Services |
2066 |
Total Medical Submitted Charge Amount |
457198 |
Total Medical Medicare Allowed Amount |
236662.19 |
Total Medical Medicare Payment Amount |
169799.49 |
Total Medical Medicare Standardized Payment Amount |
163583.9 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
240 |
Number Of Beneficiaries Age 65 to 74 |
1057 |
Number Of Beneficiaries Age 75 to 84 |
598 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
1151 |
Number Of Male Beneficiaries |
915 |
Number Of Non Hispanic White Beneficiaries |
1764 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
94 |
Number Of Hispanic Beneficiaries |
121 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
1786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1237 |