National Provider Identifier [NPI]: |
1912075441 |
Last Name Of The Provider |
SIKKA |
First Name Of The Provider |
NAVEEN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8220 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752314427 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3292 |
Number Of Medicare Beneficiaries |
151 |
Total Submitted Charge Amount |
71010.5 |
Total Medicare Allowed Amount |
59123.39 |
Total Medicare Payment Amount |
45577.03 |
Total Medicare Standardized Payment Amount |
44975.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
169 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
4815 |
Total Drug Medicare AllowedAmount |
3627.21 |
Total Drug Medicare PaymentAmount |
2916.14 |
Total Drug Medicare Standardized Payment Amount |
2916.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3123 |
Number Of Medicare Beneficiaries With Medical Services |
151 |
Total Medical Submitted Charge Amount |
66195.5 |
Total Medical Medicare Allowed Amount |
55496.18 |
Total Medical Medicare Payment Amount |
42660.89 |
Total Medical Medicare Standardized Payment Amount |
42059.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
33 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
102 |
Number Of Male Beneficiaries |
49 |
Number Of Non Hispanic White Beneficiaries |
132 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8521 |