National Provider Identifier [NPI]: |
1053585935 |
Last Name Of The Provider |
GANDHOK |
First Name Of The Provider |
HARMINDER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
875 OAK ST SE |
Street Address 2 Of The Provider |
SUITE 5080 |
City Of The Provider |
SALEM |
Zip Code Of The Provider |
973013975 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
10044 |
Number Of Medicare Beneficiaries |
1300 |
Total Submitted Charge Amount |
1187970.5 |
Total Medicare Allowed Amount |
402473.35 |
Total Medicare Payment Amount |
299825.33 |
Total Medicare Standardized Payment Amount |
312611.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6516 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
54396 |
Total Drug Medicare AllowedAmount |
20206.19 |
Total Drug Medicare PaymentAmount |
15515.61 |
Total Drug Medicare Standardized Payment Amount |
15515.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3528 |
Number Of Medicare Beneficiaries With Medical Services |
1300 |
Total Medical Submitted Charge Amount |
1133574.5 |
Total Medical Medicare Allowed Amount |
382267.16 |
Total Medical Medicare Payment Amount |
284309.72 |
Total Medical Medicare Standardized Payment Amount |
297095.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
520 |
Number Of Beneficiaries Age 75 to 84 |
347 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
670 |
Number Of Male Beneficiaries |
630 |
Number Of Non Hispanic White Beneficiaries |
1152 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
952 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6867 |