| National Provider Identifier [NPI]: | 1194773168 |
| Last Name Of The Provider | BHASKAR |
| First Name Of The Provider | BIRBAL |
| 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 | 1010 W LA VETA AVE |
| Street Address 2 Of The Provider | SUITE 250 |
| City Of The Provider | ORANGE |
| Zip Code Of The Provider | 928684304 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 44 |
| Number Of Services | 2981 |
| Number Of Medicare Beneficiaries | 15 |
| Total Submitted Charge Amount | 34128.78 |
| Total Medicare Allowed Amount | 34118.5 |
| Total Medicare Payment Amount | 25725.84 |
| Total Medicare Standardized Payment Amount | 25309.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 22 |
| Number Of Drug Services | 2894 |
| Number Of Medicare Beneficiaries With Drug Services | 15 |
| Total Drug Submitted ChargeAmount | 30475.38 |
| Total Drug Medicare AllowedAmount | 30467.1 |
| Total Drug Medicare PaymentAmount | 23678.76 |
| Total Drug Medicare Standardized Payment Amount | 23678.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 22 |
| Number Of Medical Services | 87 |
| Number Of Medicare Beneficiaries With Medical Services | 15 |
| Total Medical Submitted Charge Amount | 3653.4 |
| Total Medical Medicare Allowed Amount | 3651.4 |
| Total Medical Medicare Payment Amount | 2047.08 |
| Total Medical Medicare Standardized Payment Amount | 1630.99 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | |
| Number Of Male Beneficiaries | |
| 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 | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | 0 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | |
| Percent Of With Diabetes | |
| Percent Of With Hyperlipidemia | |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | |
| Percent Of With Schizophrenia Other PsychoticDisorders | 0 |
| Percent Of With Stroke | 0 |
| Average HCC Risk Score Of Beneficiaries | 3.5077 |