National Provider Identifier [NPI]: |
1215963590 |
Last Name Of The Provider |
LODHI |
First Name Of The Provider |
SAIMA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 WASHINGTON ST |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921032231 |
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 |
63 |
Number Of Services |
975 |
Number Of Medicare Beneficiaries |
207 |
Total Submitted Charge Amount |
137419.3 |
Total Medicare Allowed Amount |
71017.33 |
Total Medicare Payment Amount |
53841.35 |
Total Medicare Standardized Payment Amount |
52204.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
22117 |
Total Drug Medicare AllowedAmount |
11590.32 |
Total Drug Medicare PaymentAmount |
11342.18 |
Total Drug Medicare Standardized Payment Amount |
11342.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
783 |
Number Of Medicare Beneficiaries With Medical Services |
207 |
Total Medical Submitted Charge Amount |
115302.3 |
Total Medical Medicare Allowed Amount |
59427.01 |
Total Medical Medicare Payment Amount |
42499.17 |
Total Medical Medicare Standardized Payment Amount |
40862.54 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
36 |
Number Of Non Hispanic White Beneficiaries |
157 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8874 |