National Provider Identifier [NPI]: |
1710931530 |
Last Name Of The Provider |
DHINGRA |
First Name Of The Provider |
HARISH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 WESTPARK WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
EULESS |
Zip Code Of The Provider |
760403737 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3334 |
Number Of Medicare Beneficiaries |
669 |
Total Submitted Charge Amount |
418001.47 |
Total Medicare Allowed Amount |
229590.53 |
Total Medicare Payment Amount |
171284.18 |
Total Medicare Standardized Payment Amount |
177156.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
297 |
Number Of Medicare Beneficiaries With Drug Services |
229 |
Total Drug Submitted ChargeAmount |
21769.2 |
Total Drug Medicare AllowedAmount |
10946.39 |
Total Drug Medicare PaymentAmount |
10685.45 |
Total Drug Medicare Standardized Payment Amount |
10685.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3037 |
Number Of Medicare Beneficiaries With Medical Services |
669 |
Total Medical Submitted Charge Amount |
396232.27 |
Total Medical Medicare Allowed Amount |
218644.14 |
Total Medical Medicare Payment Amount |
160598.73 |
Total Medical Medicare Standardized Payment Amount |
166471.4 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
381 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
561 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1461 |