National Provider Identifier [NPI]: |
1174523823 |
Last Name Of The Provider |
SIDHU |
First Name Of The Provider |
HARJIT |
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 |
925 BISHOP WALSH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CUMBERLAND |
Zip Code Of The Provider |
215021845 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
5651 |
Number Of Medicare Beneficiaries |
764 |
Total Submitted Charge Amount |
497426 |
Total Medicare Allowed Amount |
433722.75 |
Total Medicare Payment Amount |
318231.93 |
Total Medicare Standardized Payment Amount |
319045.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
1190 |
Total Drug Medicare AllowedAmount |
257.24 |
Total Drug Medicare PaymentAmount |
197.96 |
Total Drug Medicare Standardized Payment Amount |
197.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
5532 |
Number Of Medicare Beneficiaries With Medical Services |
764 |
Total Medical Submitted Charge Amount |
496236 |
Total Medical Medicare Allowed Amount |
433465.51 |
Total Medical Medicare Payment Amount |
318033.97 |
Total Medical Medicare Standardized Payment Amount |
318847.47 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
741 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
517 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
247 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.5419 |