National Provider Identifier [NPI]: |
1659386019 |
Last Name Of The Provider |
BHUSRI |
First Name Of The Provider |
PRIYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 OLD SAN FRANCISCO RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUNNYVALE |
Zip Code Of The Provider |
940866386 |
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 |
38 |
Number Of Services |
877 |
Number Of Medicare Beneficiaries |
281 |
Total Submitted Charge Amount |
161199 |
Total Medicare Allowed Amount |
76711.69 |
Total Medicare Payment Amount |
54266.91 |
Total Medicare Standardized Payment Amount |
46674.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
5391 |
Total Drug Medicare AllowedAmount |
4917.55 |
Total Drug Medicare PaymentAmount |
4815.39 |
Total Drug Medicare Standardized Payment Amount |
4815.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
751 |
Number Of Medicare Beneficiaries With Medical Services |
281 |
Total Medical Submitted Charge Amount |
155808 |
Total Medical Medicare Allowed Amount |
71794.14 |
Total Medical Medicare Payment Amount |
49451.52 |
Total Medical Medicare Standardized Payment Amount |
41858.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
158 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
70 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9661 |