National Provider Identifier [NPI]: |
1700870102 |
Last Name Of The Provider |
KELEKAR |
First Name Of The Provider |
DILIP |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18523 CORWIN RD |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
APPLE VALLEY |
Zip Code Of The Provider |
92307 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
3299 |
Number Of Medicare Beneficiaries |
518 |
Total Submitted Charge Amount |
728609 |
Total Medicare Allowed Amount |
288010.99 |
Total Medicare Payment Amount |
214029.06 |
Total Medicare Standardized Payment Amount |
209568.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
552 |
Number Of Medicare Beneficiaries With Drug Services |
264 |
Total Drug Submitted ChargeAmount |
71640 |
Total Drug Medicare AllowedAmount |
24861.78 |
Total Drug Medicare PaymentAmount |
18875.04 |
Total Drug Medicare Standardized Payment Amount |
18875.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
2747 |
Number Of Medicare Beneficiaries With Medical Services |
518 |
Total Medical Submitted Charge Amount |
656969 |
Total Medical Medicare Allowed Amount |
263149.21 |
Total Medical Medicare Payment Amount |
195154.02 |
Total Medical Medicare Standardized Payment Amount |
190693.49 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
215 |
Number Of Non Hispanic White Beneficiaries |
390 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2731 |