National Provider Identifier [NPI]: |
1639186299 |
Last Name Of The Provider |
SINGH |
First Name Of The Provider |
SHIVDYAL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4955 VAN NUYS BLVD |
Street Address 2 Of The Provider |
SUITE #308 |
City Of The Provider |
SHERMAN OAKS |
Zip Code Of The Provider |
914031801 |
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 |
22 |
Number Of Services |
1813 |
Number Of Medicare Beneficiaries |
221 |
Total Submitted Charge Amount |
269007 |
Total Medicare Allowed Amount |
165009.63 |
Total Medicare Payment Amount |
119321.64 |
Total Medicare Standardized Payment Amount |
113517.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
1415 |
Total Drug Medicare AllowedAmount |
472.16 |
Total Drug Medicare PaymentAmount |
462.75 |
Total Drug Medicare Standardized Payment Amount |
462.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1756 |
Number Of Medicare Beneficiaries With Medical Services |
221 |
Total Medical Submitted Charge Amount |
267592 |
Total Medical Medicare Allowed Amount |
164537.47 |
Total Medical Medicare Payment Amount |
118858.89 |
Total Medical Medicare Standardized Payment Amount |
113055.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
128 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
87 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
98 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
122 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3003 |