National Provider Identifier [NPI]: |
1689622995 |
Last Name Of The Provider |
POHWANI |
First Name Of The Provider |
AMAR |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1409 E BRIGGSMORE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
953552707 |
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 |
126 |
Number Of Services |
3293 |
Number Of Medicare Beneficiaries |
1072 |
Total Submitted Charge Amount |
2413365.1 |
Total Medicare Allowed Amount |
454213.24 |
Total Medicare Payment Amount |
348624.83 |
Total Medicare Standardized Payment Amount |
341125.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
337 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
51561 |
Total Drug Medicare AllowedAmount |
17857.59 |
Total Drug Medicare PaymentAmount |
13933.18 |
Total Drug Medicare Standardized Payment Amount |
13933.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
2956 |
Number Of Medicare Beneficiaries With Medical Services |
1072 |
Total Medical Submitted Charge Amount |
2361804.1 |
Total Medical Medicare Allowed Amount |
436355.65 |
Total Medical Medicare Payment Amount |
334691.65 |
Total Medical Medicare Standardized Payment Amount |
327191.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
418 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
522 |
Number Of Non Hispanic White Beneficiaries |
783 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
180 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
662 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
410 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8417 |