National Provider Identifier [NPI]: |
1578578365 |
Last Name Of The Provider |
SIVALINGAM |
First Name Of The Provider |
KANAGARATNAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44725 N. 10TH ST. WEST |
Street Address 2 Of The Provider |
SUITE 170 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
93534 |
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 |
47 |
Number Of Services |
1908 |
Number Of Medicare Beneficiaries |
508 |
Total Submitted Charge Amount |
381012.5 |
Total Medicare Allowed Amount |
210180.16 |
Total Medicare Payment Amount |
160287.47 |
Total Medicare Standardized Payment Amount |
147056.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
3805 |
Total Drug Medicare AllowedAmount |
1407.87 |
Total Drug Medicare PaymentAmount |
1342.26 |
Total Drug Medicare Standardized Payment Amount |
1342.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1825 |
Number Of Medicare Beneficiaries With Medical Services |
508 |
Total Medical Submitted Charge Amount |
377207.5 |
Total Medical Medicare Allowed Amount |
208772.29 |
Total Medical Medicare Payment Amount |
158945.21 |
Total Medical Medicare Standardized Payment Amount |
145714.65 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
268 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
264 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
243 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9214 |