National Provider Identifier [NPI]: |
1578577813 |
Last Name Of The Provider |
KANDALAFT |
First Name Of The Provider |
NAJI |
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 |
412 W CARROLL AVE |
Street Address 2 Of The Provider |
STE 204 |
City Of The Provider |
GLENDORA |
Zip Code Of The Provider |
917414240 |
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 |
56 |
Number Of Services |
4480 |
Number Of Medicare Beneficiaries |
1005 |
Total Submitted Charge Amount |
859730.22 |
Total Medicare Allowed Amount |
487078.59 |
Total Medicare Payment Amount |
365939.49 |
Total Medicare Standardized Payment Amount |
339383.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
32074 |
Total Drug Medicare AllowedAmount |
470.81 |
Total Drug Medicare PaymentAmount |
369.38 |
Total Drug Medicare Standardized Payment Amount |
369.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4316 |
Number Of Medicare Beneficiaries With Medical Services |
1005 |
Total Medical Submitted Charge Amount |
827656.22 |
Total Medical Medicare Allowed Amount |
486607.78 |
Total Medical Medicare Payment Amount |
365570.11 |
Total Medical Medicare Standardized Payment Amount |
339013.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
583 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
284 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
446 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1355 |