National Provider Identifier [NPI]: |
1639299340 |
Last Name Of The Provider |
GANDHI |
First Name Of The Provider |
SACHIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
224 W EXCHANGE ST |
Street Address 2 Of The Provider |
#225 |
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443021704 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2790 |
Number Of Medicare Beneficiaries |
1408 |
Total Submitted Charge Amount |
384853.5 |
Total Medicare Allowed Amount |
170060.55 |
Total Medicare Payment Amount |
130011.53 |
Total Medicare Standardized Payment Amount |
133167.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
3733.5 |
Total Drug Medicare AllowedAmount |
1966.98 |
Total Drug Medicare PaymentAmount |
1542.1 |
Total Drug Medicare Standardized Payment Amount |
1542.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2752 |
Number Of Medicare Beneficiaries With Medical Services |
1408 |
Total Medical Submitted Charge Amount |
381120 |
Total Medical Medicare Allowed Amount |
168093.57 |
Total Medical Medicare Payment Amount |
128469.43 |
Total Medical Medicare Standardized Payment Amount |
131624.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
423 |
Number Of Beneficiaries Age 75 to 84 |
521 |
Number Of Beneficiaries Age Greater 84 |
355 |
Number Of Female Beneficiaries |
775 |
Number Of Male Beneficiaries |
633 |
Number Of Non Hispanic White Beneficiaries |
1353 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7838 |