National Provider Identifier [NPI]: |
1245289412 |
Last Name Of The Provider |
GINDI |
First Name Of The Provider |
ELIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2080 CENTURY PARK E |
Street Address 2 Of The Provider |
SUITE 1605 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900672001 |
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 |
113 |
Number Of Services |
8448 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
790404 |
Total Medicare Allowed Amount |
246068.1 |
Total Medicare Payment Amount |
203046.02 |
Total Medicare Standardized Payment Amount |
193018.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
2245 |
Total Drug Medicare AllowedAmount |
1792.52 |
Total Drug Medicare PaymentAmount |
1756.58 |
Total Drug Medicare Standardized Payment Amount |
1756.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
8415 |
Number Of Medicare Beneficiaries With Medical Services |
229 |
Total Medical Submitted Charge Amount |
788159 |
Total Medical Medicare Allowed Amount |
244275.58 |
Total Medical Medicare Payment Amount |
201289.44 |
Total Medical Medicare Standardized Payment Amount |
191262.37 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
123 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
15 |
Percent Of With Diabetes |
11 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0346 |