National Provider Identifier [NPI]: |
1306839048 |
Last Name Of The Provider |
PANDO |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1305 SAVANNAH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199581514 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
123444 |
Number Of Medicare Beneficiaries |
1242 |
Total Submitted Charge Amount |
5474692.74 |
Total Medicare Allowed Amount |
2940855.35 |
Total Medicare Payment Amount |
2271032.85 |
Total Medicare Standardized Payment Amount |
2248855.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
117262 |
Number Of Medicare Beneficiaries With Drug Services |
475 |
Total Drug Submitted ChargeAmount |
4393226.76 |
Total Drug Medicare AllowedAmount |
2418570.09 |
Total Drug Medicare PaymentAmount |
1888365.73 |
Total Drug Medicare Standardized Payment Amount |
1888365.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
6182 |
Number Of Medicare Beneficiaries With Medical Services |
1242 |
Total Medical Submitted Charge Amount |
1081465.98 |
Total Medical Medicare Allowed Amount |
522285.26 |
Total Medical Medicare Payment Amount |
382667.12 |
Total Medical Medicare Standardized Payment Amount |
360490.14 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
598 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
903 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
1122 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1070 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2477 |