National Provider Identifier [NPI]: |
1326047309 |
Last Name Of The Provider |
TIWARI |
First Name Of The Provider |
BHOODEV |
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 |
27830 BRADLEY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUN CITY |
Zip Code Of The Provider |
925862201 |
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 |
62 |
Number Of Services |
5117.5 |
Number Of Medicare Beneficiaries |
852 |
Total Submitted Charge Amount |
1581145.1 |
Total Medicare Allowed Amount |
434001.38 |
Total Medicare Payment Amount |
329147.87 |
Total Medicare Standardized Payment Amount |
319088.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1699.5 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
45120 |
Total Drug Medicare AllowedAmount |
7451.89 |
Total Drug Medicare PaymentAmount |
5699.64 |
Total Drug Medicare Standardized Payment Amount |
5699.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3418 |
Number Of Medicare Beneficiaries With Medical Services |
852 |
Total Medical Submitted Charge Amount |
1536025.1 |
Total Medical Medicare Allowed Amount |
426549.49 |
Total Medical Medicare Payment Amount |
323448.23 |
Total Medical Medicare Standardized Payment Amount |
313389.15 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
120 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8253 |