National Provider Identifier [NPI]: |
1134126329 |
Last Name Of The Provider |
ASHOKKUMAR |
First Name Of The Provider |
SRINIVASA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
355 ABBOTT ST |
Street Address 2 Of The Provider |
100 |
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
939014483 |
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 |
96 |
Number Of Services |
18764 |
Number Of Medicare Beneficiaries |
756 |
Total Submitted Charge Amount |
1089278.52 |
Total Medicare Allowed Amount |
430352.29 |
Total Medicare Payment Amount |
341792.2 |
Total Medicare Standardized Payment Amount |
336987.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
972 |
Number Of Medicare Beneficiaries With Drug Services |
464 |
Total Drug Submitted ChargeAmount |
49522.36 |
Total Drug Medicare AllowedAmount |
20797.39 |
Total Drug Medicare PaymentAmount |
20110.38 |
Total Drug Medicare Standardized Payment Amount |
20110.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
17792 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
1039756.16 |
Total Medical Medicare Allowed Amount |
409554.9 |
Total Medical Medicare Payment Amount |
321681.82 |
Total Medical Medicare Standardized Payment Amount |
316877.27 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
378 |
Number Of Non Hispanic White Beneficiaries |
520 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
43 |
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 |
688 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9689 |