National Provider Identifier [NPI]: |
1609817006 |
Last Name Of The Provider |
SEKHON |
First Name Of The Provider |
HARJIT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3031 TISCH WAY |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951282541 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
16479 |
Number Of Medicare Beneficiaries |
2284 |
Total Submitted Charge Amount |
975716.6 |
Total Medicare Allowed Amount |
256755.31 |
Total Medicare Payment Amount |
185765.15 |
Total Medicare Standardized Payment Amount |
147384.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
13181 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
13232.6 |
Total Drug Medicare AllowedAmount |
2546.84 |
Total Drug Medicare PaymentAmount |
1863.64 |
Total Drug Medicare Standardized Payment Amount |
1863.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
3298 |
Number Of Medicare Beneficiaries With Medical Services |
2284 |
Total Medical Submitted Charge Amount |
962484 |
Total Medical Medicare Allowed Amount |
254208.47 |
Total Medical Medicare Payment Amount |
183901.51 |
Total Medical Medicare Standardized Payment Amount |
145520.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
964 |
Number Of Beneficiaries Age 75 to 84 |
791 |
Number Of Beneficiaries Age Greater 84 |
348 |
Number Of Female Beneficiaries |
1387 |
Number Of Male Beneficiaries |
897 |
Number Of Non Hispanic White Beneficiaries |
674 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1199 |
Number Of Hispanic Beneficiaries |
285 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
80 |
Number Of Beneficiaries With Medicare Only Entitlement |
955 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1329 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2109 |