National Provider Identifier [NPI]: |
1598827396 |
Last Name Of The Provider |
SIDHU |
First Name Of The Provider |
GURCHARAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6700 N FIRST |
Street Address 2 Of The Provider |
SUITE 111 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
93710 |
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 |
11 |
Number Of Services |
6460 |
Number Of Medicare Beneficiaries |
2167 |
Total Submitted Charge Amount |
649465.28 |
Total Medicare Allowed Amount |
388776.49 |
Total Medicare Payment Amount |
302043.7 |
Total Medicare Standardized Payment Amount |
296179.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
6460 |
Number Of Medicare Beneficiaries With Medical Services |
2167 |
Total Medical Submitted Charge Amount |
649465.28 |
Total Medical Medicare Allowed Amount |
388776.49 |
Total Medical Medicare Payment Amount |
302043.7 |
Total Medical Medicare Standardized Payment Amount |
296179.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
331 |
Number Of Beneficiaries Age 65 to 74 |
780 |
Number Of Beneficiaries Age 75 to 84 |
622 |
Number Of Beneficiaries Age Greater 84 |
434 |
Number Of Female Beneficiaries |
1208 |
Number Of Male Beneficiaries |
959 |
Number Of Non Hispanic White Beneficiaries |
1237 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
152 |
Number Of Hispanic Beneficiaries |
587 |
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1089 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1078 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2489 |