National Provider Identifier [NPI]: |
1598806390 |
Last Name Of The Provider |
GUPTA |
First Name Of The Provider |
VINEET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
481 PLUMAS BLVD |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915075 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5444 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
675230.4 |
Total Medicare Allowed Amount |
331227.41 |
Total Medicare Payment Amount |
246415.08 |
Total Medicare Standardized Payment Amount |
243979.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
736 |
Number Of Medicare Beneficiaries With Drug Services |
241 |
Total Drug Submitted ChargeAmount |
16860.54 |
Total Drug Medicare AllowedAmount |
8362.61 |
Total Drug Medicare PaymentAmount |
7518.05 |
Total Drug Medicare Standardized Payment Amount |
7518.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
4708 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
658369.86 |
Total Medical Medicare Allowed Amount |
322864.8 |
Total Medical Medicare Payment Amount |
238897.03 |
Total Medical Medicare Standardized Payment Amount |
236461.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
198 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2161 |