National Provider Identifier [NPI]: |
1407997406 |
Last Name Of The Provider |
PANDHI |
First Name Of The Provider |
JAY |
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 |
180 OTAY LAKES RD. |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
BONITA |
Zip Code Of The Provider |
91902 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
4750 |
Number Of Medicare Beneficiaries |
1568 |
Total Submitted Charge Amount |
1505716 |
Total Medicare Allowed Amount |
379626.81 |
Total Medicare Payment Amount |
290548.24 |
Total Medicare Standardized Payment Amount |
304455.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
6035 |
Total Drug Medicare AllowedAmount |
5706.39 |
Total Drug Medicare PaymentAmount |
4509.62 |
Total Drug Medicare Standardized Payment Amount |
4509.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
4634 |
Number Of Medicare Beneficiaries With Medical Services |
1568 |
Total Medical Submitted Charge Amount |
1499681 |
Total Medical Medicare Allowed Amount |
373920.42 |
Total Medical Medicare Payment Amount |
286038.62 |
Total Medical Medicare Standardized Payment Amount |
299945.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
376 |
Number Of Female Beneficiaries |
872 |
Number Of Male Beneficiaries |
696 |
Number Of Non Hispanic White Beneficiaries |
1224 |
Number Of Black or African American Beneficiaries |
202 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
129 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.239 |