National Provider Identifier [NPI]: |
1609850262 |
Last Name Of The Provider |
KAUR |
First Name Of The Provider |
BHAVJOT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6545 FRANCE AVE S |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
EDINA |
Zip Code Of The Provider |
554352131 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
2297 |
Number Of Medicare Beneficiaries |
466 |
Total Submitted Charge Amount |
193767.2 |
Total Medicare Allowed Amount |
88674.69 |
Total Medicare Payment Amount |
70164.07 |
Total Medicare Standardized Payment Amount |
73009.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
179 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
15371.2 |
Total Drug Medicare AllowedAmount |
11409.86 |
Total Drug Medicare PaymentAmount |
11096.48 |
Total Drug Medicare Standardized Payment Amount |
11096.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2118 |
Number Of Medicare Beneficiaries With Medical Services |
466 |
Total Medical Submitted Charge Amount |
178396 |
Total Medical Medicare Allowed Amount |
77264.83 |
Total Medical Medicare Payment Amount |
59067.59 |
Total Medical Medicare Standardized Payment Amount |
61913.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
119 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
430 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
393 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4377 |