National Provider Identifier [NPI]: |
1144204355 |
Last Name Of The Provider |
MALHOTRA |
First Name Of The Provider |
VINAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 S CEDAR ST |
Street Address 2 Of The Provider |
#301 CARDIAC STUDY CENTER,INC., P.S. |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984052308 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
8089 |
Number Of Medicare Beneficiaries |
1670 |
Total Submitted Charge Amount |
1847033.54 |
Total Medicare Allowed Amount |
1084669.06 |
Total Medicare Payment Amount |
833726.3 |
Total Medicare Standardized Payment Amount |
837441.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3685 |
Number Of Medicare Beneficiaries With Drug Services |
358 |
Total Drug Submitted ChargeAmount |
100806.3 |
Total Drug Medicare AllowedAmount |
70984.57 |
Total Drug Medicare PaymentAmount |
55345.31 |
Total Drug Medicare Standardized Payment Amount |
55345.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
4404 |
Number Of Medicare Beneficiaries With Medical Services |
1670 |
Total Medical Submitted Charge Amount |
1746227.24 |
Total Medical Medicare Allowed Amount |
1013684.49 |
Total Medical Medicare Payment Amount |
778380.99 |
Total Medical Medicare Standardized Payment Amount |
782095.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
619 |
Number Of Beneficiaries Age 75 to 84 |
611 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
823 |
Number Of Male Beneficiaries |
847 |
Number Of Non Hispanic White Beneficiaries |
1526 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5711 |