National Provider Identifier [NPI]: |
1295930907 |
Last Name Of The Provider |
BATHIA |
First Name Of The Provider |
NEETI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 ARGUELLO ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
REDWOOD CITY |
Zip Code Of The Provider |
940631566 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sports Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
1682 |
Number Of Medicare Beneficiaries |
259 |
Total Submitted Charge Amount |
298281 |
Total Medicare Allowed Amount |
128272.05 |
Total Medicare Payment Amount |
96959.87 |
Total Medicare Standardized Payment Amount |
81937.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
642 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
12838 |
Total Drug Medicare AllowedAmount |
5754.51 |
Total Drug Medicare PaymentAmount |
4510.11 |
Total Drug Medicare Standardized Payment Amount |
4510.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1040 |
Number Of Medicare Beneficiaries With Medical Services |
259 |
Total Medical Submitted Charge Amount |
285443 |
Total Medical Medicare Allowed Amount |
122517.54 |
Total Medical Medicare Payment Amount |
92449.76 |
Total Medical Medicare Standardized Payment Amount |
77427.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
167 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
226 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
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 |
7 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
12 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7622 |