National Provider Identifier [NPI]: |
1306881834 |
Last Name Of The Provider |
ARUN |
First Name Of The Provider |
SHIKHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5330 NE GLISAN ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
PORTLAND |
Zip Code Of The Provider |
972133069 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
181 |
Number Of Medicare Beneficiaries |
35 |
Total Submitted Charge Amount |
23049 |
Total Medicare Allowed Amount |
10774.38 |
Total Medicare Payment Amount |
8088.76 |
Total Medicare Standardized Payment Amount |
8025.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
20 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
771.25 |
Total Drug Medicare AllowedAmount |
770.32 |
Total Drug Medicare PaymentAmount |
754.84 |
Total Drug Medicare Standardized Payment Amount |
754.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
161 |
Number Of Medicare Beneficiaries With Medical Services |
35 |
Total Medical Submitted Charge Amount |
22277.75 |
Total Medical Medicare Allowed Amount |
10004.06 |
Total Medical Medicare Payment Amount |
7333.92 |
Total Medical Medicare Standardized Payment Amount |
7270.19 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
11 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
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Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
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Percent Of With Alzheimers Disease or Dementia |
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Percent Of With Asthma |
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Percent Of With Cancer |
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Percent Of With Heart Failure |
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Percent Of With Chronic Kidney Disease |
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Percent Of With Chronic Obstructive Pulmonary Disease |
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Percent Of With Depression |
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Percent Of With Diabetes |
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Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
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Percent Of With Osteoporosis |
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Percent Of With Rheumatoid Arthritis Osteoarthritis |
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Percent Of With Schizophrenia Other PsychoticDisorders |
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Percent Of With Stroke |
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Average HCC Risk Score Of Beneficiaries |
0.9763 |