National Provider Identifier [NPI]: |
1396715181 |
Last Name Of The Provider |
MANN |
First Name Of The Provider |
AMARDEEP |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
865 PATRIOT DR STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MOORPARK |
Zip Code Of The Provider |
930213407 |
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 |
65 |
Number Of Services |
5252 |
Number Of Medicare Beneficiaries |
1409 |
Total Submitted Charge Amount |
782645.1 |
Total Medicare Allowed Amount |
537472.69 |
Total Medicare Payment Amount |
409533.01 |
Total Medicare Standardized Payment Amount |
375989.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
482.85 |
Total Drug Medicare AllowedAmount |
415.35 |
Total Drug Medicare PaymentAmount |
327.29 |
Total Drug Medicare Standardized Payment Amount |
327.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
5158 |
Number Of Medicare Beneficiaries With Medical Services |
1409 |
Total Medical Submitted Charge Amount |
782162.25 |
Total Medical Medicare Allowed Amount |
537057.34 |
Total Medical Medicare Payment Amount |
409205.72 |
Total Medical Medicare Standardized Payment Amount |
375662.61 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
434 |
Number Of Beneficiaries Age Greater 84 |
388 |
Number Of Female Beneficiaries |
791 |
Number Of Male Beneficiaries |
618 |
Number Of Non Hispanic White Beneficiaries |
1099 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
85 |
Number Of Hispanic Beneficiaries |
175 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1057 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9279 |