National Provider Identifier [NPI]: |
1811959307 |
Last Name Of The Provider |
KHANT |
First Name Of The Provider |
RANCHHOD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 EICHENFELD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRANDON |
Zip Code Of The Provider |
335115908 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
4908 |
Number Of Medicare Beneficiaries |
2052 |
Total Submitted Charge Amount |
938030 |
Total Medicare Allowed Amount |
407385.34 |
Total Medicare Payment Amount |
307864.53 |
Total Medicare Standardized Payment Amount |
310888.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
172 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
15960 |
Total Drug Medicare AllowedAmount |
9111.35 |
Total Drug Medicare PaymentAmount |
7143.28 |
Total Drug Medicare Standardized Payment Amount |
7143.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
4736 |
Number Of Medicare Beneficiaries With Medical Services |
2052 |
Total Medical Submitted Charge Amount |
922070 |
Total Medical Medicare Allowed Amount |
398273.99 |
Total Medical Medicare Payment Amount |
300721.25 |
Total Medical Medicare Standardized Payment Amount |
303744.95 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
691 |
Number Of Beneficiaries Age 75 to 84 |
750 |
Number Of Beneficiaries Age Greater 84 |
392 |
Number Of Female Beneficiaries |
1039 |
Number Of Male Beneficiaries |
1013 |
Number Of Non Hispanic White Beneficiaries |
1719 |
Number Of Black or African American Beneficiaries |
144 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1717 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8983 |