National Provider Identifier [NPI]: |
1629048012 |
Last Name Of The Provider |
LE |
First Name Of The Provider |
KHOI |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 N VALERIA ST STE 508 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937012168 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
13003 |
Number Of Medicare Beneficiaries |
4698 |
Total Submitted Charge Amount |
2659313.32 |
Total Medicare Allowed Amount |
906097.24 |
Total Medicare Payment Amount |
693679.96 |
Total Medicare Standardized Payment Amount |
693334.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1050 |
Number Of Medicare Beneficiaries With Drug Services |
193 |
Total Drug Submitted ChargeAmount |
17063 |
Total Drug Medicare AllowedAmount |
4533.01 |
Total Drug Medicare PaymentAmount |
3534.65 |
Total Drug Medicare Standardized Payment Amount |
3534.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
11953 |
Number Of Medicare Beneficiaries With Medical Services |
4698 |
Total Medical Submitted Charge Amount |
2642250.32 |
Total Medical Medicare Allowed Amount |
901564.23 |
Total Medical Medicare Payment Amount |
690145.31 |
Total Medical Medicare Standardized Payment Amount |
689799.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
936 |
Number Of Beneficiaries Age 65 to 74 |
1712 |
Number Of Beneficiaries Age 75 to 84 |
1299 |
Number Of Beneficiaries Age Greater 84 |
751 |
Number Of Female Beneficiaries |
2481 |
Number Of Male Beneficiaries |
2217 |
Number Of Non Hispanic White Beneficiaries |
2375 |
Number Of Black or African American Beneficiaries |
343 |
Number Of AsianPacific Islander Beneficiaries |
378 |
Number Of Hispanic Beneficiaries |
1492 |
Number Of American Indian Alaska Native Beneficiaries |
57 |
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
2126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2572 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.0682 |