National Provider Identifier [NPI]: |
1225353063 |
Last Name Of The Provider |
BHATTI |
First Name Of The Provider |
SONA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
32018 23RD AVE S |
Street Address 2 Of The Provider |
|
City Of The Provider |
FEDERAL WAY |
Zip Code Of The Provider |
980036022 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1166 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
100439.22 |
Total Medicare Allowed Amount |
51567.59 |
Total Medicare Payment Amount |
36148.16 |
Total Medicare Standardized Payment Amount |
34908.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
364 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1503.56 |
Total Drug Medicare AllowedAmount |
1067.05 |
Total Drug Medicare PaymentAmount |
1018.42 |
Total Drug Medicare Standardized Payment Amount |
1018.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
802 |
Number Of Medicare Beneficiaries With Medical Services |
243 |
Total Medical Submitted Charge Amount |
98935.66 |
Total Medical Medicare Allowed Amount |
50500.54 |
Total Medical Medicare Payment Amount |
35129.74 |
Total Medical Medicare Standardized Payment Amount |
33890.14 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
190 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3384 |