National Provider Identifier [NPI]: |
1386674679 |
Last Name Of The Provider |
PANDIT |
First Name Of The Provider |
LOTIKA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6073 E BRAINERD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374213909 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
953 |
Number Of Medicare Beneficiaries |
425 |
Total Submitted Charge Amount |
213281 |
Total Medicare Allowed Amount |
117488.11 |
Total Medicare Payment Amount |
87229.11 |
Total Medicare Standardized Payment Amount |
95526.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
472 |
Total Drug Medicare AllowedAmount |
77.45 |
Total Drug Medicare PaymentAmount |
62.12 |
Total Drug Medicare Standardized Payment Amount |
62.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
939 |
Number Of Medicare Beneficiaries With Medical Services |
425 |
Total Medical Submitted Charge Amount |
212809 |
Total Medical Medicare Allowed Amount |
117410.66 |
Total Medical Medicare Payment Amount |
87166.99 |
Total Medical Medicare Standardized Payment Amount |
95464.75 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
|
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 |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2152 |