National Provider Identifier [NPI]: |
1124090303 |
Last Name Of The Provider |
BHOJRAJ |
First Name Of The Provider |
SANJAY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39815 ALTA MURRIETA DR |
Street Address 2 Of The Provider |
SUITE C-1 |
City Of The Provider |
MURRIETA |
Zip Code Of The Provider |
925635459 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
1854 |
Number Of Medicare Beneficiaries |
778 |
Total Submitted Charge Amount |
425649.5 |
Total Medicare Allowed Amount |
155697.71 |
Total Medicare Payment Amount |
117450.27 |
Total Medicare Standardized Payment Amount |
110930.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
26624 |
Total Drug Medicare AllowedAmount |
2742.87 |
Total Drug Medicare PaymentAmount |
2150.33 |
Total Drug Medicare Standardized Payment Amount |
2150.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
1802 |
Number Of Medicare Beneficiaries With Medical Services |
778 |
Total Medical Submitted Charge Amount |
399025.5 |
Total Medical Medicare Allowed Amount |
152954.84 |
Total Medical Medicare Payment Amount |
115299.94 |
Total Medical Medicare Standardized Payment Amount |
108779.7 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
399 |
Number Of Non Hispanic White Beneficiaries |
666 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
682 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.705 |