National Provider Identifier [NPI]: |
1639161581 |
Last Name Of The Provider |
ARORA |
First Name Of The Provider |
ASHIM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
158 MACAW LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIMI VALLEY |
Zip Code Of The Provider |
930653152 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
8075 |
Number Of Medicare Beneficiaries |
1128 |
Total Submitted Charge Amount |
1078973 |
Total Medicare Allowed Amount |
803612.31 |
Total Medicare Payment Amount |
622337.75 |
Total Medicare Standardized Payment Amount |
583242.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
3740 |
Total Drug Medicare AllowedAmount |
3246.78 |
Total Drug Medicare PaymentAmount |
3179.81 |
Total Drug Medicare Standardized Payment Amount |
3179.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7943 |
Number Of Medicare Beneficiaries With Medical Services |
1128 |
Total Medical Submitted Charge Amount |
1075233 |
Total Medical Medicare Allowed Amount |
800365.53 |
Total Medical Medicare Payment Amount |
619157.94 |
Total Medical Medicare Standardized Payment Amount |
580062.33 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
421 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
625 |
Number Of Male Beneficiaries |
503 |
Number Of Non Hispanic White Beneficiaries |
958 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
968 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0179 |