National Provider Identifier [NPI]: |
1881805745 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
HARPREET |
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 |
1300 EAST COOLEY DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLTON |
Zip Code Of The Provider |
922343905 |
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 |
35 |
Number Of Services |
533 |
Number Of Medicare Beneficiaries |
76 |
Total Submitted Charge Amount |
24586.57 |
Total Medicare Allowed Amount |
24576.88 |
Total Medicare Payment Amount |
18367.08 |
Total Medicare Standardized Payment Amount |
17789.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
210 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
860.55 |
Total Drug Medicare AllowedAmount |
853.46 |
Total Drug Medicare PaymentAmount |
769.84 |
Total Drug Medicare Standardized Payment Amount |
769.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
323 |
Number Of Medicare Beneficiaries With Medical Services |
76 |
Total Medical Submitted Charge Amount |
23726.02 |
Total Medical Medicare Allowed Amount |
23723.42 |
Total Medical Medicare Payment Amount |
17597.24 |
Total Medical Medicare Standardized Payment Amount |
17019.47 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
32 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
50 |
Number Of Male Beneficiaries |
26 |
Number Of Non Hispanic White Beneficiaries |
36 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
41 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6639 |