National Provider Identifier [NPI]: |
1154379147 |
Last Name Of The Provider |
SETHI |
First Name Of The Provider |
PRABHDEEP |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D., M.P.H. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
399 E HIGHLAND AVE |
Street Address 2 Of The Provider |
#307 |
City Of The Provider |
SAN BERNARDINO |
Zip Code Of The Provider |
924043853 |
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 |
58 |
Number Of Services |
1606 |
Number Of Medicare Beneficiaries |
507 |
Total Submitted Charge Amount |
537784.6 |
Total Medicare Allowed Amount |
169004.4 |
Total Medicare Payment Amount |
127622.43 |
Total Medicare Standardized Payment Amount |
124531.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
4750 |
Total Drug Medicare AllowedAmount |
4021.99 |
Total Drug Medicare PaymentAmount |
3153.26 |
Total Drug Medicare Standardized Payment Amount |
3153.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1530 |
Number Of Medicare Beneficiaries With Medical Services |
507 |
Total Medical Submitted Charge Amount |
533034.6 |
Total Medical Medicare Allowed Amount |
164982.41 |
Total Medical Medicare Payment Amount |
124469.17 |
Total Medical Medicare Standardized Payment Amount |
121377.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
232 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
174 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4542 |