National Provider Identifier [NPI]: |
1619906872 |
Last Name Of The Provider |
KUNDARIA |
First Name Of The Provider |
BHANJI |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1505 SHEPARD DR STE 106 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934547016 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
62182 |
Number Of Medicare Beneficiaries |
197 |
Total Submitted Charge Amount |
608365.5 |
Total Medicare Allowed Amount |
501807.53 |
Total Medicare Payment Amount |
387190.39 |
Total Medicare Standardized Payment Amount |
381596.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
37 |
Number Of Drug Services |
57192 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
385970.5 |
Total Drug Medicare AllowedAmount |
315181.07 |
Total Drug Medicare PaymentAmount |
243625.96 |
Total Drug Medicare Standardized Payment Amount |
243625.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
4990 |
Number Of Medicare Beneficiaries With Medical Services |
196 |
Total Medical Submitted Charge Amount |
222395 |
Total Medical Medicare Allowed Amount |
186626.46 |
Total Medical Medicare Payment Amount |
143564.43 |
Total Medical Medicare Standardized Payment Amount |
137970.73 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
115 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
101 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
121 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
|
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6967 |