National Provider Identifier [NPI]: |
1851312789 |
Last Name Of The Provider |
GANDHOK |
First Name Of The Provider |
NAVJEET |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13660 N 94TH DR |
Street Address 2 Of The Provider |
SUITE C4 |
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
853814836 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
345602 |
Number Of Medicare Beneficiaries |
811 |
Total Submitted Charge Amount |
6941595.07 |
Total Medicare Allowed Amount |
3943412.4 |
Total Medicare Payment Amount |
3067990.26 |
Total Medicare Standardized Payment Amount |
3029233.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
333978 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
5273601 |
Total Drug Medicare AllowedAmount |
3038284.63 |
Total Drug Medicare PaymentAmount |
2381373.74 |
Total Drug Medicare Standardized Payment Amount |
2381373.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
11624 |
Number Of Medicare Beneficiaries With Medical Services |
811 |
Total Medical Submitted Charge Amount |
1667994.07 |
Total Medical Medicare Allowed Amount |
905127.77 |
Total Medical Medicare Payment Amount |
686616.52 |
Total Medical Medicare Standardized Payment Amount |
647859.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
741 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
756 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8136 |