National Provider Identifier [NPI]: |
1790855195 |
Last Name Of The Provider |
BHAMBI |
First Name Of The Provider |
BRIJESH |
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 |
2901 SILLECT AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933086370 |
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 |
198 |
Number Of Services |
13881 |
Number Of Medicare Beneficiaries |
1432 |
Total Submitted Charge Amount |
6410526.75 |
Total Medicare Allowed Amount |
3117442.47 |
Total Medicare Payment Amount |
2414466.68 |
Total Medicare Standardized Payment Amount |
2287221.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
3319 |
Number Of Medicare Beneficiaries With Drug Services |
617 |
Total Drug Submitted ChargeAmount |
158630.35 |
Total Drug Medicare AllowedAmount |
87478.33 |
Total Drug Medicare PaymentAmount |
68709.18 |
Total Drug Medicare Standardized Payment Amount |
68709.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
10562 |
Number Of Medicare Beneficiaries With Medical Services |
1431 |
Total Medical Submitted Charge Amount |
6251896.4 |
Total Medical Medicare Allowed Amount |
3029964.14 |
Total Medical Medicare Payment Amount |
2345757.5 |
Total Medical Medicare Standardized Payment Amount |
2218512.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
607 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
713 |
Number Of Male Beneficiaries |
719 |
Number Of Non Hispanic White Beneficiaries |
1049 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
59 |
Number Of Hispanic Beneficiaries |
234 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1030 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
402 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7131 |