National Provider Identifier [NPI]: |
1730292384 |
Last Name Of The Provider |
PACHNANDA |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5000 W 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394021000 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
281 |
Number Of Services |
14189 |
Number Of Medicare Beneficiaries |
5838 |
Total Submitted Charge Amount |
1683704 |
Total Medicare Allowed Amount |
348981.98 |
Total Medicare Payment Amount |
264756.31 |
Total Medicare Standardized Payment Amount |
288505.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4844 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
7107 |
Total Drug Medicare AllowedAmount |
1871.6 |
Total Drug Medicare PaymentAmount |
1462.45 |
Total Drug Medicare Standardized Payment Amount |
1462.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
278 |
Number Of Medical Services |
9345 |
Number Of Medicare Beneficiaries With Medical Services |
5838 |
Total Medical Submitted Charge Amount |
1676597 |
Total Medical Medicare Allowed Amount |
347110.38 |
Total Medical Medicare Payment Amount |
263293.86 |
Total Medical Medicare Standardized Payment Amount |
287042.85 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1366 |
Number Of Beneficiaries Age 65 to 74 |
2092 |
Number Of Beneficiaries Age 75 to 84 |
1631 |
Number Of Beneficiaries Age Greater 84 |
749 |
Number Of Female Beneficiaries |
3422 |
Number Of Male Beneficiaries |
2416 |
Number Of Non Hispanic White Beneficiaries |
4368 |
Number Of Black or African American Beneficiaries |
1408 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
3477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2361 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6697 |