National Provider Identifier [NPI]: |
1790700052 |
Last Name Of The Provider |
GANDHI |
First Name Of The Provider |
ADITHYA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
320 OAKFIELD DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
BRANDON |
Zip Code Of The Provider |
335115723 |
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 |
48 |
Number Of Services |
6134 |
Number Of Medicare Beneficiaries |
1199 |
Total Submitted Charge Amount |
785348.58 |
Total Medicare Allowed Amount |
529926.05 |
Total Medicare Payment Amount |
402495.14 |
Total Medicare Standardized Payment Amount |
380567.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
739 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
42644 |
Total Drug Medicare AllowedAmount |
22319.33 |
Total Drug Medicare PaymentAmount |
17339.36 |
Total Drug Medicare Standardized Payment Amount |
17339.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5395 |
Number Of Medicare Beneficiaries With Medical Services |
1199 |
Total Medical Submitted Charge Amount |
742704.58 |
Total Medical Medicare Allowed Amount |
507606.72 |
Total Medical Medicare Payment Amount |
385155.78 |
Total Medical Medicare Standardized Payment Amount |
363228.63 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
654 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
921 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
924 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8437 |