National Provider Identifier [NPI]: |
1497730527 |
Last Name Of The Provider |
SIMJEE |
First Name Of The Provider |
SALMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1290 E SPRUCE AVE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203371 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
19550 |
Number Of Medicare Beneficiaries |
1673 |
Total Submitted Charge Amount |
1991429.48 |
Total Medicare Allowed Amount |
1190643.23 |
Total Medicare Payment Amount |
877887.98 |
Total Medicare Standardized Payment Amount |
854029.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
163 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
28239.41 |
Total Drug Medicare AllowedAmount |
27679.06 |
Total Drug Medicare PaymentAmount |
21662.58 |
Total Drug Medicare Standardized Payment Amount |
21662.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
19387 |
Number Of Medicare Beneficiaries With Medical Services |
1673 |
Total Medical Submitted Charge Amount |
1963190.07 |
Total Medical Medicare Allowed Amount |
1162964.17 |
Total Medical Medicare Payment Amount |
856225.4 |
Total Medical Medicare Standardized Payment Amount |
832366.53 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
746 |
Number Of Beneficiaries Age 75 to 84 |
610 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
993 |
Number Of Male Beneficiaries |
680 |
Number Of Non Hispanic White Beneficiaries |
1527 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1613 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.899 |