National Provider Identifier [NPI]: |
1447341409 |
Last Name Of The Provider |
SONI |
First Name Of The Provider |
VINEY |
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 |
9940 TALBERT AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FOUNTAIN VALLEY |
Zip Code Of The Provider |
927085153 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
8267 |
Number Of Medicare Beneficiaries |
869 |
Total Submitted Charge Amount |
1591749.28 |
Total Medicare Allowed Amount |
955671.35 |
Total Medicare Payment Amount |
744878.91 |
Total Medicare Standardized Payment Amount |
687488.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1995 |
Total Drug Medicare AllowedAmount |
584.43 |
Total Drug Medicare PaymentAmount |
544.69 |
Total Drug Medicare Standardized Payment Amount |
544.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
8206 |
Number Of Medicare Beneficiaries With Medical Services |
869 |
Total Medical Submitted Charge Amount |
1589754.28 |
Total Medical Medicare Allowed Amount |
955086.92 |
Total Medical Medicare Payment Amount |
744334.22 |
Total Medical Medicare Standardized Payment Amount |
686943.47 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
533 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
128 |
Number Of Hispanic Beneficiaries |
164 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
503 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.7748 |