National Provider Identifier [NPI]: |
1417910407 |
Last Name Of The Provider |
MARWAHA |
First Name Of The Provider |
JATINDER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1081 MARKET PL |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SAN RAMON |
Zip Code Of The Provider |
945834773 |
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 |
77 |
Number Of Services |
4016 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
785599.66 |
Total Medicare Allowed Amount |
377574.31 |
Total Medicare Payment Amount |
281393.9 |
Total Medicare Standardized Payment Amount |
266012.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
557 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
10847 |
Total Drug Medicare AllowedAmount |
5365.2 |
Total Drug Medicare PaymentAmount |
5031.39 |
Total Drug Medicare Standardized Payment Amount |
5031.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3459 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
774752.66 |
Total Medical Medicare Allowed Amount |
372209.11 |
Total Medical Medicare Payment Amount |
276362.51 |
Total Medical Medicare Standardized Payment Amount |
260981.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
373 |
Number Of Non Hispanic White Beneficiaries |
696 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
723 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1976 |