National Provider Identifier [NPI]: |
1306899604 |
Last Name Of The Provider |
GOPAL |
First Name Of The Provider |
RAJ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 H ST |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933011900 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
853 |
Number Of Medicare Beneficiaries |
532 |
Total Submitted Charge Amount |
331294 |
Total Medicare Allowed Amount |
69494.71 |
Total Medicare Payment Amount |
52888.71 |
Total Medicare Standardized Payment Amount |
50928.97 |
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 |
14 |
Number Of Medical Services |
853 |
Number Of Medicare Beneficiaries With Medical Services |
532 |
Total Medical Submitted Charge Amount |
331294 |
Total Medical Medicare Allowed Amount |
69494.71 |
Total Medical Medicare Payment Amount |
52888.71 |
Total Medical Medicare Standardized Payment Amount |
50928.97 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
251 |
Number Of Non Hispanic White Beneficiaries |
322 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
134 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
263 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.5903 |