National Provider Identifier [NPI]: |
1700893492 |
Last Name Of The Provider |
JINDAL |
First Name Of The Provider |
RAKESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
332 N VILLA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
932573211 |
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 |
112 |
Number Of Services |
7121 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
607655.24 |
Total Medicare Allowed Amount |
521217.85 |
Total Medicare Payment Amount |
386156.85 |
Total Medicare Standardized Payment Amount |
374460.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
827 |
Number Of Medicare Beneficiaries With Drug Services |
342 |
Total Drug Submitted ChargeAmount |
47219 |
Total Drug Medicare AllowedAmount |
32938.67 |
Total Drug Medicare PaymentAmount |
27034.24 |
Total Drug Medicare Standardized Payment Amount |
27034.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
6294 |
Number Of Medicare Beneficiaries With Medical Services |
537 |
Total Medical Submitted Charge Amount |
560436.24 |
Total Medical Medicare Allowed Amount |
488279.18 |
Total Medical Medicare Payment Amount |
359122.61 |
Total Medical Medicare Standardized Payment Amount |
347426.69 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
180 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2378 |