National Provider Identifier [NPI]: |
1811074586 |
Last Name Of The Provider |
DHAR |
First Name Of The Provider |
SANJAY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4740 HOEN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA ROSA |
Zip Code Of The Provider |
954057824 |
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 |
66 |
Number Of Services |
10816 |
Number Of Medicare Beneficiaries |
1821 |
Total Submitted Charge Amount |
1280782.09 |
Total Medicare Allowed Amount |
753275.27 |
Total Medicare Payment Amount |
556186.23 |
Total Medicare Standardized Payment Amount |
547405.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2025 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
3037.5 |
Total Drug Medicare AllowedAmount |
364.85 |
Total Drug Medicare PaymentAmount |
286.01 |
Total Drug Medicare Standardized Payment Amount |
286.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
8791 |
Number Of Medicare Beneficiaries With Medical Services |
1821 |
Total Medical Submitted Charge Amount |
1277744.59 |
Total Medical Medicare Allowed Amount |
752910.42 |
Total Medical Medicare Payment Amount |
555900.22 |
Total Medical Medicare Standardized Payment Amount |
547119.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
671 |
Number Of Beneficiaries Age 75 to 84 |
577 |
Number Of Beneficiaries Age Greater 84 |
427 |
Number Of Female Beneficiaries |
994 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
1623 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5684 |