National Provider Identifier [NPI]: |
1699967877 |
Last Name Of The Provider |
BHARWANI |
First Name Of The Provider |
SUNIL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 E 6TH AVE |
Street Address 2 Of The Provider |
OAKDALE FAMILY CARE |
City Of The Provider |
OAKDALE |
Zip Code Of The Provider |
714632628 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
2088 |
Number Of Medicare Beneficiaries |
297 |
Total Submitted Charge Amount |
274569 |
Total Medicare Allowed Amount |
115818.2 |
Total Medicare Payment Amount |
79585.63 |
Total Medicare Standardized Payment Amount |
87204.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
757 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
12809 |
Total Drug Medicare AllowedAmount |
1919.72 |
Total Drug Medicare PaymentAmount |
1797.64 |
Total Drug Medicare Standardized Payment Amount |
1797.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1331 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
261760 |
Total Medical Medicare Allowed Amount |
113898.48 |
Total Medical Medicare Payment Amount |
77787.99 |
Total Medical Medicare Standardized Payment Amount |
85407.06 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
228 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
160 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2493 |