National Provider Identifier [NPI]: |
1104984491 |
Last Name Of The Provider |
ANAND |
First Name Of The Provider |
KISHLAY |
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 |
3805 E BELL RD |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850322105 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
5730 |
Number Of Medicare Beneficiaries |
1230 |
Total Submitted Charge Amount |
1286224 |
Total Medicare Allowed Amount |
617535.1 |
Total Medicare Payment Amount |
469067.16 |
Total Medicare Standardized Payment Amount |
482654.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
6649 |
Total Drug Medicare AllowedAmount |
2593.81 |
Total Drug Medicare PaymentAmount |
2033.53 |
Total Drug Medicare Standardized Payment Amount |
2033.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
5681 |
Number Of Medicare Beneficiaries With Medical Services |
1230 |
Total Medical Submitted Charge Amount |
1279575 |
Total Medical Medicare Allowed Amount |
614941.29 |
Total Medical Medicare Payment Amount |
467033.63 |
Total Medical Medicare Standardized Payment Amount |
480620.55 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
712 |
Number Of Non Hispanic White Beneficiaries |
1098 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
125 |
Percent Of With Atrial Fibrillation |
48 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8825 |