National Provider Identifier [NPI]: |
1952504441 |
Last Name Of The Provider |
RIKHYE |
First Name Of The Provider |
SOMI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, MPH |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
251 N 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
215501375 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
999 |
Number Of Medicare Beneficiaries |
760 |
Total Submitted Charge Amount |
327330.25 |
Total Medicare Allowed Amount |
109491.2 |
Total Medicare Payment Amount |
76842.11 |
Total Medicare Standardized Payment Amount |
76070.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
999 |
Number Of Medicare Beneficiaries With Medical Services |
760 |
Total Medical Submitted Charge Amount |
327330.25 |
Total Medical Medicare Allowed Amount |
109491.2 |
Total Medical Medicare Payment Amount |
76842.11 |
Total Medical Medicare Standardized Payment Amount |
76070.29 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
744 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
511 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4453 |