National Provider Identifier [NPI]: |
1366419988 |
Last Name Of The Provider |
SODHI |
First Name Of The Provider |
AMANDEEP |
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 |
13921 W GRAND AVE |
Street Address 2 Of The Provider |
STE 502 |
City Of The Provider |
SURPRISE |
Zip Code Of The Provider |
853742439 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
6380 |
Number Of Medicare Beneficiaries |
1291 |
Total Submitted Charge Amount |
551957.26 |
Total Medicare Allowed Amount |
439039.57 |
Total Medicare Payment Amount |
329993.09 |
Total Medicare Standardized Payment Amount |
332576.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1322 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
32431.21 |
Total Drug Medicare AllowedAmount |
18210.56 |
Total Drug Medicare PaymentAmount |
14193.16 |
Total Drug Medicare Standardized Payment Amount |
14193.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5058 |
Number Of Medicare Beneficiaries With Medical Services |
1291 |
Total Medical Submitted Charge Amount |
519526.05 |
Total Medical Medicare Allowed Amount |
420829.01 |
Total Medical Medicare Payment Amount |
315799.93 |
Total Medical Medicare Standardized Payment Amount |
318383.13 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
455 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
307 |
Number Of Female Beneficiaries |
668 |
Number Of Male Beneficiaries |
623 |
Number Of Non Hispanic White Beneficiaries |
1188 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7619 |