National Provider Identifier [NPI]: |
1164483244 |
Last Name Of The Provider |
ARORA |
First Name Of The Provider |
RAVEEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1712 W MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANAHEIM |
Zip Code Of The Provider |
928011801 |
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 |
113 |
Number Of Services |
10447 |
Number Of Medicare Beneficiaries |
1036 |
Total Submitted Charge Amount |
1942184 |
Total Medicare Allowed Amount |
925263.13 |
Total Medicare Payment Amount |
707448.87 |
Total Medicare Standardized Payment Amount |
644237.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1230 |
Number Of Medicare Beneficiaries With Drug Services |
315 |
Total Drug Submitted ChargeAmount |
147597 |
Total Drug Medicare AllowedAmount |
62971.7 |
Total Drug Medicare PaymentAmount |
49599.09 |
Total Drug Medicare Standardized Payment Amount |
49599.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
9217 |
Number Of Medicare Beneficiaries With Medical Services |
1036 |
Total Medical Submitted Charge Amount |
1794587 |
Total Medical Medicare Allowed Amount |
862291.43 |
Total Medical Medicare Payment Amount |
657849.78 |
Total Medical Medicare Standardized Payment Amount |
594638.22 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
340 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
573 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
572 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
170 |
Number Of Hispanic Beneficiaries |
223 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
446 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.3666 |