National Provider Identifier [NPI]: |
1043244122 |
Last Name Of The Provider |
JOHN |
First Name Of The Provider |
THAMPI |
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 |
30 RIVER PARK PL W |
Street Address 2 Of The Provider |
STE 330 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937201545 |
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 |
70 |
Number Of Services |
5270 |
Number Of Medicare Beneficiaries |
1202 |
Total Submitted Charge Amount |
1461925.64 |
Total Medicare Allowed Amount |
688235.09 |
Total Medicare Payment Amount |
523060.4 |
Total Medicare Standardized Payment Amount |
529260.91 |
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 |
70 |
Number Of Medical Services |
5270 |
Number Of Medicare Beneficiaries With Medical Services |
1202 |
Total Medical Submitted Charge Amount |
1461925.64 |
Total Medical Medicare Allowed Amount |
688235.09 |
Total Medical Medicare Payment Amount |
523060.4 |
Total Medical Medicare Standardized Payment Amount |
529260.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
442 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
606 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
720 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
325 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
505 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8738 |