National Provider Identifier [NPI]: |
1952501918 |
Last Name Of The Provider |
TANDON |
First Name Of The Provider |
HIMANSHU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
419 E DONALD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATERLOO |
Zip Code Of The Provider |
507031500 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
6928 |
Number Of Medicare Beneficiaries |
2026 |
Total Submitted Charge Amount |
2049036 |
Total Medicare Allowed Amount |
778138.19 |
Total Medicare Payment Amount |
595918.18 |
Total Medicare Standardized Payment Amount |
641687.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
837 |
Number Of Medicare Beneficiaries With Drug Services |
201 |
Total Drug Submitted ChargeAmount |
80631 |
Total Drug Medicare AllowedAmount |
42669.69 |
Total Drug Medicare PaymentAmount |
33337.66 |
Total Drug Medicare Standardized Payment Amount |
33337.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
6091 |
Number Of Medicare Beneficiaries With Medical Services |
2026 |
Total Medical Submitted Charge Amount |
1968405 |
Total Medical Medicare Allowed Amount |
735468.5 |
Total Medical Medicare Payment Amount |
562580.52 |
Total Medical Medicare Standardized Payment Amount |
608349.47 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
818 |
Number Of Beneficiaries Age 75 to 84 |
733 |
Number Of Beneficiaries Age Greater 84 |
326 |
Number Of Female Beneficiaries |
924 |
Number Of Male Beneficiaries |
1102 |
Number Of Non Hispanic White Beneficiaries |
1907 |
Number Of Black or African American Beneficiaries |
95 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1788 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.488 |