National Provider Identifier [NPI]: |
1457362527 |
Last Name Of The Provider |
VARMA |
First Name Of The Provider |
USHA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
316 E LAS TUNAS DR |
Street Address 2 Of The Provider |
#206 |
City Of The Provider |
SAN GABRIEL |
Zip Code Of The Provider |
917761535 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
341 |
Number Of Medicare Beneficiaries |
62 |
Total Submitted Charge Amount |
146048 |
Total Medicare Allowed Amount |
30060.81 |
Total Medicare Payment Amount |
20560.4 |
Total Medicare Standardized Payment Amount |
22139.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
26 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1020 |
Total Drug Medicare AllowedAmount |
497.31 |
Total Drug Medicare PaymentAmount |
449.39 |
Total Drug Medicare Standardized Payment Amount |
449.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
315 |
Number Of Medicare Beneficiaries With Medical Services |
62 |
Total Medical Submitted Charge Amount |
145028 |
Total Medical Medicare Allowed Amount |
29563.5 |
Total Medical Medicare Payment Amount |
20111.01 |
Total Medical Medicare Standardized Payment Amount |
21689.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
19 |
Number Of Beneficiaries Age 75 to 84 |
14 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
44 |
Number Of Male Beneficiaries |
18 |
Number Of Non Hispanic White Beneficiaries |
15 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
17 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
|
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3085 |