National Provider Identifier [NPI]: |
1396796835 |
Last Name Of The Provider |
MEHENDALE |
First Name Of The Provider |
ANAND |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 SIDNEY BAKER SOUTH |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
KERRVILLE |
Zip Code Of The Provider |
780285900 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
7409.5 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
1166118.28 |
Total Medicare Allowed Amount |
563874.15 |
Total Medicare Payment Amount |
431002.3 |
Total Medicare Standardized Payment Amount |
450814.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4403.5 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
57710 |
Total Drug Medicare AllowedAmount |
28716.01 |
Total Drug Medicare PaymentAmount |
22506.65 |
Total Drug Medicare Standardized Payment Amount |
22506.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3006 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
1108408.28 |
Total Medical Medicare Allowed Amount |
535158.14 |
Total Medical Medicare Payment Amount |
408495.65 |
Total Medical Medicare Standardized Payment Amount |
428307.98 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
601 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
538 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.2546 |