National Provider Identifier [NPI]: |
1275535403 |
Last Name Of The Provider |
PANDEY |
First Name Of The Provider |
HEMANT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 S DOBSON RD |
Street Address 2 Of The Provider |
STE A-103 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852245667 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5389 |
Number Of Medicare Beneficiaries |
681 |
Total Submitted Charge Amount |
678165 |
Total Medicare Allowed Amount |
332219.05 |
Total Medicare Payment Amount |
248569.81 |
Total Medicare Standardized Payment Amount |
248793.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3099 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
36944 |
Total Drug Medicare AllowedAmount |
16905.8 |
Total Drug Medicare PaymentAmount |
13242.83 |
Total Drug Medicare Standardized Payment Amount |
13242.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2290 |
Number Of Medicare Beneficiaries With Medical Services |
681 |
Total Medical Submitted Charge Amount |
641221 |
Total Medical Medicare Allowed Amount |
315313.25 |
Total Medical Medicare Payment Amount |
235326.98 |
Total Medical Medicare Standardized Payment Amount |
235551.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
367 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
552 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
561 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
1.7811 |