National Provider Identifier [NPI]: |
1215049374 |
Last Name Of The Provider |
JOSHI |
First Name Of The Provider |
CHANDRASHEKHAR |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 LOS ANGELES AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIMI VALLEY |
Zip Code Of The Provider |
930652898 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
4797 |
Number Of Medicare Beneficiaries |
505 |
Total Submitted Charge Amount |
858333.44 |
Total Medicare Allowed Amount |
287928.68 |
Total Medicare Payment Amount |
212333.38 |
Total Medicare Standardized Payment Amount |
189587.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1839 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
40221.92 |
Total Drug Medicare AllowedAmount |
14864.57 |
Total Drug Medicare PaymentAmount |
11514.27 |
Total Drug Medicare Standardized Payment Amount |
11514.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
2958 |
Number Of Medicare Beneficiaries With Medical Services |
505 |
Total Medical Submitted Charge Amount |
818111.52 |
Total Medical Medicare Allowed Amount |
273064.11 |
Total Medical Medicare Payment Amount |
200819.11 |
Total Medical Medicare Standardized Payment Amount |
178073.34 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0714 |