National Provider Identifier [NPI]: |
1942491493 |
Last Name Of The Provider |
SOHAL |
First Name Of The Provider |
MOHINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2105 BEVERLY BLVD |
Street Address 2 Of The Provider |
SUITE 227 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900572216 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
5357 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
657109 |
Total Medicare Allowed Amount |
312343.88 |
Total Medicare Payment Amount |
230013.24 |
Total Medicare Standardized Payment Amount |
211458.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
2445 |
Total Drug Medicare AllowedAmount |
1279.71 |
Total Drug Medicare PaymentAmount |
1253.98 |
Total Drug Medicare Standardized Payment Amount |
1253.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
5277 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
654664 |
Total Medical Medicare Allowed Amount |
311064.17 |
Total Medical Medicare Payment Amount |
228759.26 |
Total Medical Medicare Standardized Payment Amount |
210204.1 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
178 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
142 |
Number Of Hispanic Beneficiaries |
263 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
639 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.026 |