National Provider Identifier [NPI]: |
1235382334 |
Last Name Of The Provider |
GANGA |
First Name Of The Provider |
ANUPAMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5401 NORRIS CANYON RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SAN RAMON |
Zip Code Of The Provider |
945835409 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
963 |
Number Of Medicare Beneficiaries |
109 |
Total Submitted Charge Amount |
133595.72 |
Total Medicare Allowed Amount |
76407.12 |
Total Medicare Payment Amount |
58129.8 |
Total Medicare Standardized Payment Amount |
51431.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1528 |
Total Drug Medicare AllowedAmount |
720.03 |
Total Drug Medicare PaymentAmount |
565.67 |
Total Drug Medicare Standardized Payment Amount |
565.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
857 |
Number Of Medicare Beneficiaries With Medical Services |
109 |
Total Medical Submitted Charge Amount |
132067.72 |
Total Medical Medicare Allowed Amount |
75687.09 |
Total Medical Medicare Payment Amount |
57564.13 |
Total Medical Medicare Standardized Payment Amount |
50865.93 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
61 |
Number Of Male Beneficiaries |
48 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
93 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
17 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3568 |