National Provider Identifier [NPI]: |
1134121049 |
Last Name Of The Provider |
KAMRA |
First Name Of The Provider |
DHEERAJ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1737 CREEKSIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FOLSOM |
Zip Code Of The Provider |
956303917 |
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 |
65 |
Number Of Services |
5839 |
Number Of Medicare Beneficiaries |
601 |
Total Submitted Charge Amount |
1106576 |
Total Medicare Allowed Amount |
464113.69 |
Total Medicare Payment Amount |
350330.7 |
Total Medicare Standardized Payment Amount |
340812.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1520 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
41214 |
Total Drug Medicare AllowedAmount |
21672.48 |
Total Drug Medicare PaymentAmount |
17736.24 |
Total Drug Medicare Standardized Payment Amount |
17736.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4319 |
Number Of Medicare Beneficiaries With Medical Services |
601 |
Total Medical Submitted Charge Amount |
1065362 |
Total Medical Medicare Allowed Amount |
442441.21 |
Total Medical Medicare Payment Amount |
332594.46 |
Total Medical Medicare Standardized Payment Amount |
323076.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
478 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6157 |