National Provider Identifier [NPI]: |
1336156728 |
Last Name Of The Provider |
DHILLON |
First Name Of The Provider |
GURMEJ |
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 |
6069 N 1ST ST STE 103 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937105467 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
26294 |
Number Of Medicare Beneficiaries |
765 |
Total Submitted Charge Amount |
1320742.93 |
Total Medicare Allowed Amount |
821509.32 |
Total Medicare Payment Amount |
668604.25 |
Total Medicare Standardized Payment Amount |
649381.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
586 |
Number Of Medicare Beneficiaries With Drug Services |
329 |
Total Drug Submitted ChargeAmount |
15650.01 |
Total Drug Medicare AllowedAmount |
4268.55 |
Total Drug Medicare PaymentAmount |
3964.75 |
Total Drug Medicare Standardized Payment Amount |
3964.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
25708 |
Number Of Medicare Beneficiaries With Medical Services |
765 |
Total Medical Submitted Charge Amount |
1305092.92 |
Total Medical Medicare Allowed Amount |
817240.77 |
Total Medical Medicare Payment Amount |
664639.5 |
Total Medical Medicare Standardized Payment Amount |
645416.97 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
320 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
105 |
Number Of Hispanic Beneficiaries |
222 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
595 |
Percent Of With Atrial Fibrillation |
2 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2764 |