National Provider Identifier [NPI]: |
1003957788 |
Last Name Of The Provider |
SANDHU |
First Name Of The Provider |
PEERAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
511 S SANTA FE AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SALINA |
Zip Code Of The Provider |
674014145 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
69875 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
2113016 |
Total Medicare Allowed Amount |
1281356.46 |
Total Medicare Payment Amount |
1000213 |
Total Medicare Standardized Payment Amount |
1002195 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
66463 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
1753365 |
Total Drug Medicare AllowedAmount |
1088954.24 |
Total Drug Medicare PaymentAmount |
852447.57 |
Total Drug Medicare Standardized Payment Amount |
852447.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
3412 |
Number Of Medicare Beneficiaries With Medical Services |
326 |
Total Medical Submitted Charge Amount |
359651 |
Total Medical Medicare Allowed Amount |
192402.22 |
Total Medical Medicare Payment Amount |
147765.43 |
Total Medical Medicare Standardized Payment Amount |
149747.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
306 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
294 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7699 |