National Provider Identifier [NPI]: |
1386750487 |
Last Name Of The Provider |
DHILLON |
First Name Of The Provider |
SURINDER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6079 N FRESNO STREET |
Street Address 2 Of The Provider |
SUITE 101 |
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 |
55 |
Number Of Services |
5140 |
Number Of Medicare Beneficiaries |
892 |
Total Submitted Charge Amount |
638525 |
Total Medicare Allowed Amount |
420307.9 |
Total Medicare Payment Amount |
314885.89 |
Total Medicare Standardized Payment Amount |
306467.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
417 |
Number Of Medicare Beneficiaries With Drug Services |
335 |
Total Drug Submitted ChargeAmount |
25410 |
Total Drug Medicare AllowedAmount |
18119.47 |
Total Drug Medicare PaymentAmount |
17754.45 |
Total Drug Medicare Standardized Payment Amount |
17754.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4723 |
Number Of Medicare Beneficiaries With Medical Services |
892 |
Total Medical Submitted Charge Amount |
613115 |
Total Medical Medicare Allowed Amount |
402188.43 |
Total Medical Medicare Payment Amount |
297131.44 |
Total Medical Medicare Standardized Payment Amount |
288712.93 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
291 |
Number Of Beneficiaries Age 65 to 74 |
275 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
569 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
65 |
Number Of Hispanic Beneficiaries |
186 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1354 |