National Provider Identifier [NPI]: |
1346217551 |
Last Name Of The Provider |
PALIWAL |
First Name Of The Provider |
YOGESH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1818 N ORANGE GROVE AVE |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
POMONA |
Zip Code Of The Provider |
917673028 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5300 |
Number Of Medicare Beneficiaries |
833 |
Total Submitted Charge Amount |
848618.17 |
Total Medicare Allowed Amount |
470273.23 |
Total Medicare Payment Amount |
365251.95 |
Total Medicare Standardized Payment Amount |
345336.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
244 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
59020 |
Total Drug Medicare AllowedAmount |
12768.01 |
Total Drug Medicare PaymentAmount |
10084.27 |
Total Drug Medicare Standardized Payment Amount |
10084.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5056 |
Number Of Medicare Beneficiaries With Medical Services |
833 |
Total Medical Submitted Charge Amount |
789598.17 |
Total Medical Medicare Allowed Amount |
457505.22 |
Total Medical Medicare Payment Amount |
355167.68 |
Total Medical Medicare Standardized Payment Amount |
335252.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
357 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
289 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
616 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.2689 |