National Provider Identifier [NPI]: |
1699776302 |
Last Name Of The Provider |
KHANNA |
First Name Of The Provider |
CHAND |
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 |
23928 LYONS AVE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
NEWHALL |
Zip Code Of The Provider |
913212409 |
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 |
65 |
Number Of Services |
3871 |
Number Of Medicare Beneficiaries |
505 |
Total Submitted Charge Amount |
732239.42 |
Total Medicare Allowed Amount |
359488.55 |
Total Medicare Payment Amount |
276778.49 |
Total Medicare Standardized Payment Amount |
260647.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
5330 |
Total Drug Medicare AllowedAmount |
1982.5 |
Total Drug Medicare PaymentAmount |
1896.44 |
Total Drug Medicare Standardized Payment Amount |
1896.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3768 |
Number Of Medicare Beneficiaries With Medical Services |
505 |
Total Medical Submitted Charge Amount |
726909.42 |
Total Medical Medicare Allowed Amount |
357506.05 |
Total Medical Medicare Payment Amount |
274882.05 |
Total Medical Medicare Standardized Payment Amount |
258751.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
369 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
34 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
58 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3228 |