National Provider Identifier [NPI]: |
1881607695 |
Last Name Of The Provider |
KANG |
First Name Of The Provider |
JASBIR |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
481 PLUMAS BLVD |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915075 |
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 |
48 |
Number Of Services |
2430 |
Number Of Medicare Beneficiaries |
542 |
Total Submitted Charge Amount |
297081.51 |
Total Medicare Allowed Amount |
171473.51 |
Total Medicare Payment Amount |
125491.77 |
Total Medicare Standardized Payment Amount |
123409.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
147 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
3973.19 |
Total Drug Medicare AllowedAmount |
2017.22 |
Total Drug Medicare PaymentAmount |
1738.95 |
Total Drug Medicare Standardized Payment Amount |
1738.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2283 |
Number Of Medicare Beneficiaries With Medical Services |
542 |
Total Medical Submitted Charge Amount |
293108.32 |
Total Medical Medicare Allowed Amount |
169456.29 |
Total Medical Medicare Payment Amount |
123752.82 |
Total Medical Medicare Standardized Payment Amount |
121670.49 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
339 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
122 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
289 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8137 |