National Provider Identifier [NPI]: |
1669685251 |
Last Name Of The Provider |
ATWAL |
First Name Of The Provider |
SUKHVIR |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
568 E HERNDON AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937202989 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
7185 |
Number Of Medicare Beneficiaries |
1168 |
Total Submitted Charge Amount |
781376 |
Total Medicare Allowed Amount |
572963.17 |
Total Medicare Payment Amount |
439257.12 |
Total Medicare Standardized Payment Amount |
429628.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3120 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
78000 |
Total Drug Medicare AllowedAmount |
35795.27 |
Total Drug Medicare PaymentAmount |
27827.92 |
Total Drug Medicare Standardized Payment Amount |
27827.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
4065 |
Number Of Medicare Beneficiaries With Medical Services |
1168 |
Total Medical Submitted Charge Amount |
703376 |
Total Medical Medicare Allowed Amount |
537167.9 |
Total Medical Medicare Payment Amount |
411429.2 |
Total Medical Medicare Standardized Payment Amount |
401800.93 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
297 |
Number Of Beneficiaries Age 65 to 74 |
398 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
593 |
Number Of Male Beneficiaries |
575 |
Number Of Non Hispanic White Beneficiaries |
432 |
Number Of Black or African American Beneficiaries |
100 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
467 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
701 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
4.196 |