| National Provider Identifier [NPI]: | 1609806041 |
| Last Name Of The Provider | ARUNASALAM |
| First Name Of The Provider | SIVA |
| 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 | 12780 HESPERIA RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | VICTORVILLE |
| Zip Code Of The Provider | 923955806 |
| 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 | 336 |
| Number Of Services | 168728 |
| Number Of Medicare Beneficiaries | 1481 |
| Total Submitted Charge Amount | 9502968.15 |
| Total Medicare Allowed Amount | 4147018.42 |
| Total Medicare Payment Amount | 3230107.72 |
| Total Medicare Standardized Payment Amount | 3078156.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 34 |
| Number Of Drug Services | 129495 |
| Number Of Medicare Beneficiaries With Drug Services | 823 |
| Total Drug Submitted ChargeAmount | 334573.75 |
| Total Drug Medicare AllowedAmount | 94720.76 |
| Total Drug Medicare PaymentAmount | 74619.89 |
| Total Drug Medicare Standardized Payment Amount | 74619.89 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 302 |
| Number Of Medical Services | 39233 |
| Number Of Medicare Beneficiaries With Medical Services | 1481 |
| Total Medical Submitted Charge Amount | 9168394.4 |
| Total Medical Medicare Allowed Amount | 4052297.66 |
| Total Medical Medicare Payment Amount | 3155487.83 |
| Total Medical Medicare Standardized Payment Amount | 3003536.55 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 182 |
| Number Of Beneficiaries Age 65 to 74 | 532 |
| Number Of Beneficiaries Age 75 to 84 | 546 |
| Number Of Beneficiaries Age Greater 84 | 221 |
| Number Of Female Beneficiaries | 758 |
| Number Of Male Beneficiaries | 723 |
| Number Of Non Hispanic White Beneficiaries | 1082 |
| Number Of Black or African American Beneficiaries | 133 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 215 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1122 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 359 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 50 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.805 |