National Provider Identifier [NPI]: |
1417931627 |
Last Name Of The Provider |
VORA |
First Name Of The Provider |
DEVENDRA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 S CEDAR ST |
Street Address 2 Of The Provider |
SUITE 301 CARDIAC STUDY CENTER, INC., P.S. |
City Of The Provider |
TACOMA |
Zip Code Of The Provider |
984052308 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4412 |
Number Of Medicare Beneficiaries |
1643 |
Total Submitted Charge Amount |
1310320.59 |
Total Medicare Allowed Amount |
767350.46 |
Total Medicare Payment Amount |
585661.73 |
Total Medicare Standardized Payment Amount |
591808.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
473 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
35475 |
Total Drug Medicare AllowedAmount |
25060.41 |
Total Drug Medicare PaymentAmount |
19592.28 |
Total Drug Medicare Standardized Payment Amount |
19592.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3939 |
Number Of Medicare Beneficiaries With Medical Services |
1643 |
Total Medical Submitted Charge Amount |
1274845.59 |
Total Medical Medicare Allowed Amount |
742290.05 |
Total Medical Medicare Payment Amount |
566069.45 |
Total Medical Medicare Standardized Payment Amount |
572216.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
624 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
257 |
Number Of Female Beneficiaries |
822 |
Number Of Male Beneficiaries |
821 |
Number Of Non Hispanic White Beneficiaries |
1388 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6175 |