National Provider Identifier [NPI]: |
1467417667 |
Last Name Of The Provider |
PANDHARIPANDE |
First Name Of The Provider |
PARI |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 FRUIT ST |
Street Address 2 Of The Provider |
RADIOLOGICAL ASSOCIATES |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021142696 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3546 |
Number Of Medicare Beneficiaries |
633 |
Total Submitted Charge Amount |
315812 |
Total Medicare Allowed Amount |
76195.45 |
Total Medicare Payment Amount |
58526.68 |
Total Medicare Standardized Payment Amount |
54745.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2808 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
5968 |
Total Drug Medicare AllowedAmount |
1485.28 |
Total Drug Medicare PaymentAmount |
1164.49 |
Total Drug Medicare Standardized Payment Amount |
1164.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
738 |
Number Of Medicare Beneficiaries With Medical Services |
633 |
Total Medical Submitted Charge Amount |
309844 |
Total Medical Medicare Allowed Amount |
74710.17 |
Total Medical Medicare Payment Amount |
57362.19 |
Total Medical Medicare Standardized Payment Amount |
53581.46 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
311 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
551 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
448 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1613 |