National Provider Identifier [NPI]: |
1306815493 |
Last Name Of The Provider |
GHEI |
First Name Of The Provider |
PUNEET |
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 |
160 ROADRUNNER PARKWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS CRUCES |
Zip Code Of The Provider |
88011 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
18454 |
Number Of Medicare Beneficiaries |
927 |
Total Submitted Charge Amount |
1239540 |
Total Medicare Allowed Amount |
205121.22 |
Total Medicare Payment Amount |
159164.38 |
Total Medicare Standardized Payment Amount |
173396.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15933 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
39826 |
Total Drug Medicare AllowedAmount |
4321.68 |
Total Drug Medicare PaymentAmount |
3355.92 |
Total Drug Medicare Standardized Payment Amount |
3355.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
2521 |
Number Of Medicare Beneficiaries With Medical Services |
926 |
Total Medical Submitted Charge Amount |
1199714 |
Total Medical Medicare Allowed Amount |
200799.54 |
Total Medical Medicare Payment Amount |
155808.46 |
Total Medical Medicare Standardized Payment Amount |
170040.95 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
560 |
Number Of Male Beneficiaries |
367 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
125 |
Number Of Hispanic Beneficiaries |
204 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
656 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3009 |