National Provider Identifier [NPI]: |
1821129933 |
Last Name Of The Provider |
SARKIS |
First Name Of The Provider |
ARBELLA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
105 N BASCOM AVE |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951281811 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
4203 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
632393.94 |
Total Medicare Allowed Amount |
345337.93 |
Total Medicare Payment Amount |
271117.37 |
Total Medicare Standardized Payment Amount |
227681.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
12900 |
Total Drug Medicare AllowedAmount |
5189.13 |
Total Drug Medicare PaymentAmount |
5054.43 |
Total Drug Medicare Standardized Payment Amount |
5054.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3889 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
619493.94 |
Total Medical Medicare Allowed Amount |
340148.8 |
Total Medical Medicare Payment Amount |
266062.94 |
Total Medical Medicare Standardized Payment Amount |
222626.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
312 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
91 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
346 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2905 |