National Provider Identifier [NPI]: |
1912954389 |
Last Name Of The Provider |
PANDYA |
First Name Of The Provider |
HASIT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1340 BELMONT AVE |
Street Address 2 Of The Provider |
SUITE 2300 |
City Of The Provider |
YOUNGSTOWN |
Zip Code Of The Provider |
445041191 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
14453 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
2304906.8 |
Total Medicare Allowed Amount |
722016.98 |
Total Medicare Payment Amount |
559010.33 |
Total Medicare Standardized Payment Amount |
594393.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11711 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
28612.8 |
Total Drug Medicare AllowedAmount |
2400.37 |
Total Drug Medicare PaymentAmount |
1876.45 |
Total Drug Medicare Standardized Payment Amount |
1876.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2742 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
2276294 |
Total Medical Medicare Allowed Amount |
719616.61 |
Total Medical Medicare Payment Amount |
557133.88 |
Total Medical Medicare Standardized Payment Amount |
592517.39 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
406 |
Number Of Male Beneficiaries |
389 |
Number Of Non Hispanic White Beneficiaries |
568 |
Number Of Black or African American Beneficiaries |
191 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
336 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
5.1616 |