National Provider Identifier [NPI]: |
1598730897 |
Last Name Of The Provider |
KAMNANI |
First Name Of The Provider |
LAXMICHAND |
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 |
104 E 30TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PAMPA |
Zip Code Of The Provider |
790652822 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
7436 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
1277105.03 |
Total Medicare Allowed Amount |
490540.45 |
Total Medicare Payment Amount |
364007.4 |
Total Medicare Standardized Payment Amount |
372104.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1284 |
Number Of Medicare Beneficiaries With Drug Services |
305 |
Total Drug Submitted ChargeAmount |
60053.28 |
Total Drug Medicare AllowedAmount |
46402.61 |
Total Drug Medicare PaymentAmount |
35893.19 |
Total Drug Medicare Standardized Payment Amount |
35893.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
6152 |
Number Of Medicare Beneficiaries With Medical Services |
645 |
Total Medical Submitted Charge Amount |
1217051.75 |
Total Medical Medicare Allowed Amount |
444137.84 |
Total Medical Medicare Payment Amount |
328114.21 |
Total Medical Medicare Standardized Payment Amount |
336211.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
356 |
Number Of Male Beneficiaries |
290 |
Number Of Non Hispanic White Beneficiaries |
576 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.49 |