National Provider Identifier [NPI]: |
1366776908 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
JASVIR |
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 |
600 COFFEE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
953554201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
17272 |
Number Of Medicare Beneficiaries |
1014 |
Total Submitted Charge Amount |
1189027.45 |
Total Medicare Allowed Amount |
504364.39 |
Total Medicare Payment Amount |
376629.68 |
Total Medicare Standardized Payment Amount |
370514.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
44 |
Number Of Drug Services |
14978 |
Number Of Medicare Beneficiaries With Drug Services |
431 |
Total Drug Submitted ChargeAmount |
772216.45 |
Total Drug Medicare AllowedAmount |
353655.65 |
Total Drug Medicare PaymentAmount |
269708.85 |
Total Drug Medicare Standardized Payment Amount |
269708.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2294 |
Number Of Medicare Beneficiaries With Medical Services |
958 |
Total Medical Submitted Charge Amount |
416811 |
Total Medical Medicare Allowed Amount |
150708.74 |
Total Medical Medicare Payment Amount |
106920.83 |
Total Medical Medicare Standardized Payment Amount |
100805.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
237 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
657 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
755 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
338 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1761 |