National Provider Identifier [NPI]: |
1477612752 |
Last Name Of The Provider |
GILL |
First Name Of The Provider |
KANWALJIT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38656 MEDICAL CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
PALMDALE |
Zip Code Of The Provider |
93551 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
7498 |
Number Of Medicare Beneficiaries |
1855 |
Total Submitted Charge Amount |
1072273 |
Total Medicare Allowed Amount |
645088.8 |
Total Medicare Payment Amount |
492869.32 |
Total Medicare Standardized Payment Amount |
471072.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1284 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
33340 |
Total Drug Medicare AllowedAmount |
11253.55 |
Total Drug Medicare PaymentAmount |
8825.95 |
Total Drug Medicare Standardized Payment Amount |
8825.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
6214 |
Number Of Medicare Beneficiaries With Medical Services |
1853 |
Total Medical Submitted Charge Amount |
1038933 |
Total Medical Medicare Allowed Amount |
633835.25 |
Total Medical Medicare Payment Amount |
484043.37 |
Total Medical Medicare Standardized Payment Amount |
462246.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
405 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
548 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
1028 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
1142 |
Number Of Black or African American Beneficiaries |
300 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
314 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1058 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
797 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2935 |