Working doc to rank given cardiologists
Key: factor/tie-breaker | +1 point | -1 point
Methodology notes:
for continuous variables, the top 2 will get a +1 and bottom 2 will get a -1
most factors are weighted equally (a lot of room for improvement here)
Table of selected attributes
| npi | 1184787020 | 1477612752 | 1952460248 | 1114980703 | 1215918800 | 1255334769 | 1891765574 | 1851401822 |
|---|---|---|---|---|---|---|---|---|
| Score | 3 | 2 | 4 | 3 | -1 | 4 | 4 | 0 |
| Outside cardiologist cluster? - it's good to have geographically diverse providers | Y | Y | Y | |||||
| Last Name | KUMAR | GILL | KHANAL | ALTURJUMAN | SHENKMAN | ON | GUPTA | SILVA |
| Gender | M | M | M | M | F | M | M | M |
| Graduation year | 1977 | 1990 | 1991 | 1989 | 1999 | 1978 | 1966 | 1967 |
| Secondary specialty 1 | NULL | INTERNAL MEDICINE | CARDIAC SURGERY (+2) | CRITICAL CARE (INTENSIVISTS) | INTERNAL MEDICINE | NULL | NULL | NULL |
| Organization legal name | KUMAR MEDICAL CORPORATION | KANWALJIT S. GILL MD INC | ANTELOPE VALLEY CARDIOLOGY ASSOCIATES | BLACKSTONE MEDICAL CORP. | LAKESIDE MEDICAL ASSOCIATES, A MEDICAL GROUP, INC. | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. | HEART CENTER OF SOUTHERN CALIFORNIA INC | LAKESIDE MEDICAL ORGANIZATION, A MEDICAL GROUP INC. |
| Number of Group Practice members | 2 | 1 | 4 | 2 | 2 | 100 | 1 | 100 |
| Participating in PQRS | Y | Y | Y | Y | NULL | Y | Y | NULL |
| Participating in EHR | Y | Y | Y | Y | NULL | Y | Y | NULL |
| Number of HCPCS | 88 | 96 | 91 | 94 | 30 | 35 | 18 | 35 |
| Number of Services | 12593 | 7498 | 6167 | 6458 | 499 | 908 | 4723 | 1802 |
| Number of Medicare Beneficiaries - a practice needs patients! | 2274 (+2) | 1855 | 1347 | 1030 | 255 | 333 | 205 | 509 |
| Number of Services per Beneficiary (calculated) - smaller ratio is better | 5.54 | 4.04 | 4.58 | 6.23 | 1.96 | 2.73 (+2) | 23.04 (-2) | 3.54 |
| Total Submitted Charge Amount | 2124265.16 | 1072273 | 1194343 | 1732247 | 126213.86 | 156434.52 | 511145.88 | 331223.34 |
| Total Medicare Allowed Amount | 1083048.4 | 645088.8 | 491828.5 | 530223.99 | 50570.65 | 89911.22 | 249300.54 | 155159.63 |
| Total Medicare Payment Amount | 819039.53 | 492869.32 | 371113.86 | 400437.8 | 37976.14 | 66399.56 | 188086.11 | 115930.25 |
| Total Medicare Standardized Payment Amount | 755562.09 | 471072.83 | 349615.01 | 388564.23 | 35403.57 | 60943.32 | 176705.68 | 106481.89 |
| Total Medicare Standardized Payment Amount per Bene (calculated) - higher is better as "differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care" | 332.26 | 253.95 | 259.55 | 377.25 | 138.84 | 183.01 | 861.97 (+2) | 209.19 |
| Average Age of Beneficiaries - younger gives more time for prevention | 72 | 72 | 72 | 74 | 77 | 78 | 74 | 77 |
| Number of Female Beneficiaries | 1269 | 1028 | 722 | 591 | 116 | 166 | 98 | 240 |
| Number of Male Beneficiaries | 1005 | 827 | 625 | 439 | 139 | 167 | 107 | 269 |
| Number of Non-Hispanic White Beneficiaries | 1263 | 1142 | 832 | 587 | 201 | 277 | 129 | 389 |
| Number of Black or African American Beneficiaries | 432 | 300 | 207 | 100 | ||||
| Number of Asian Pacific Islander Beneficiaries | 86 | 73 | 49 | 44 | 11 | 15 | 20 | 22 |
| Number of Hispanic Beneficiaries | 450 | 314 | 239 | 270 | 30 | 24 | 45 | 78 |
| Percent (%) of Beneficiaries Identified With Atrial Fibrillation | 17 | 17 | 18 | 22 | 38 | 27 | 19 | 29 |
| Percent (%) of Beneficiaries Identified With Heart Failure | 41 | 45 | 46 | 55 | 58 | 35 | 27 | 35 |
| Percent (%) of Beneficiaries Identified With Depression - a risk factor that compounds chances of heart disease - may not be good for a healthy population | 24 | 24 | 29 | 23 | 33 | 21 | 15 | 21 |
| Percent (%) of Beneficiaries Identified With Diabetes - a risk factor that compounds chances of heart disease - may not be good for a healthy population | 53 | 52 | 57 | 50 | 47 | 31 | 37 | 37 |
| Percent (%) of Beneficiaries Identified With Hyperlipidemia | 66 | 69 | 73 | 70 | 74 | 75 | 75 | 69 |
| Percent (%) of Beneficiaries Identified With Hypertension | 75 | 75 | 75 | 75 | 75 | 75 | 75 | 75 |
| Percent (%) of Beneficiaries Identified With Ischemic Heart Disease | 65 | 63 | 74 | 75 | 75 | 57 | 75 | 65 |
| Percent (%) of Beneficiaries Identified With Stroke | 12 | 12 | 16 | 13 | 16 | 9 | 7 | 14 |
| Average HCC Risk Score of Beneficiaries - a high HCC may signal a low chance for successful prevention | 2.1222 | 2.2935 | 2.3065 | 2.0265 | 2.2654 | 1.6168 | 1.164 | 1.8477 |