National Provider Identifier [NPI]: |
1356398200 |
Last Name Of The Provider |
PANKHANIYA |
First Name Of The Provider |
ROHIT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3221 TAMIAMI TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339528002 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
29722 |
Number Of Medicare Beneficiaries |
1435 |
Total Submitted Charge Amount |
1120926.76 |
Total Medicare Allowed Amount |
695140.29 |
Total Medicare Payment Amount |
534294.63 |
Total Medicare Standardized Payment Amount |
533240.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23248 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
70457.5 |
Total Drug Medicare AllowedAmount |
36639.41 |
Total Drug Medicare PaymentAmount |
29135.41 |
Total Drug Medicare Standardized Payment Amount |
29135.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
6474 |
Number Of Medicare Beneficiaries With Medical Services |
1435 |
Total Medical Submitted Charge Amount |
1050469.26 |
Total Medical Medicare Allowed Amount |
658500.88 |
Total Medical Medicare Payment Amount |
505159.22 |
Total Medical Medicare Standardized Payment Amount |
504104.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
500 |
Number Of Beneficiaries Age Greater 84 |
355 |
Number Of Female Beneficiaries |
610 |
Number Of Male Beneficiaries |
825 |
Number Of Non Hispanic White Beneficiaries |
1293 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.0666 |