National Provider Identifier [NPI]: |
1477581106 |
Last Name Of The Provider |
MEHTANI |
First Name Of The Provider |
JANAK |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2951 FULTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958214909 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
10 |
Number Of Services |
11049 |
Number Of Medicare Beneficiaries |
1756 |
Total Submitted Charge Amount |
2183600 |
Total Medicare Allowed Amount |
1244968.89 |
Total Medicare Payment Amount |
958533.4 |
Total Medicare Standardized Payment Amount |
929983.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1540 |
Total Drug Medicare AllowedAmount |
641.22 |
Total Drug Medicare PaymentAmount |
502.62 |
Total Drug Medicare Standardized Payment Amount |
502.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
10950 |
Number Of Medicare Beneficiaries With Medical Services |
1756 |
Total Medical Submitted Charge Amount |
2182060 |
Total Medical Medicare Allowed Amount |
1244327.67 |
Total Medical Medicare Payment Amount |
958030.78 |
Total Medical Medicare Standardized Payment Amount |
929480.49 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
1183 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
1050 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
1277 |
Number Of Black or African American Beneficiaries |
206 |
Number Of AsianPacific Islander Beneficiaries |
89 |
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1138 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
41 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5047 |