National Provider Identifier [NPI]: |
1194788158 |
Last Name Of The Provider |
BHASKAR |
First Name Of The Provider |
SHYAM |
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 |
231 W NOBLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932772631 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
14921 |
Number Of Medicare Beneficiaries |
1717 |
Total Submitted Charge Amount |
1317832.5 |
Total Medicare Allowed Amount |
880412.56 |
Total Medicare Payment Amount |
669479.96 |
Total Medicare Standardized Payment Amount |
616674.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
551 |
Number Of Medicare Beneficiaries With Drug Services |
368 |
Total Drug Submitted ChargeAmount |
19699 |
Total Drug Medicare AllowedAmount |
7819.2 |
Total Drug Medicare PaymentAmount |
7612.87 |
Total Drug Medicare Standardized Payment Amount |
7612.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
14370 |
Number Of Medicare Beneficiaries With Medical Services |
1717 |
Total Medical Submitted Charge Amount |
1298133.5 |
Total Medical Medicare Allowed Amount |
872593.36 |
Total Medical Medicare Payment Amount |
661867.09 |
Total Medical Medicare Standardized Payment Amount |
609061.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
329 |
Number Of Beneficiaries Age 65 to 74 |
558 |
Number Of Beneficiaries Age 75 to 84 |
505 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
965 |
Number Of Male Beneficiaries |
752 |
Number Of Non Hispanic White Beneficiaries |
830 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
79 |
Number Of Hispanic Beneficiaries |
762 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1119 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2187 |