Medicare Facts for Dr. Nehal S. Gandhi, MD


National Provider Identifier [NPI]: 1295909919
Last Name Of The Provider GANDHI
First Name Of The Provider NEHAL
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 OLD FORGE LN
Street Address 2 Of The Provider SUITE 203
City Of The Provider KENNETT SQUARE
Zip Code Of The Provider 193481895
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 24
Number Of Services 4755
Number Of Medicare Beneficiaries 265
Total Submitted Charge Amount 436086
Total Medicare Allowed Amount 157300.93
Total Medicare Payment Amount 117517.37
Total Medicare Standardized Payment Amount 112513.42
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 3685
Number Of Medicare Beneficiaries With Drug Services 127
Total Drug Submitted ChargeAmount 152477
Total Drug Medicare AllowedAmount 46901.91
Total Drug Medicare PaymentAmount 36754.28
Total Drug Medicare Standardized Payment Amount 36754.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 1070
Number Of Medicare Beneficiaries With Medical Services 265
Total Medical Submitted Charge Amount 283609
Total Medical Medicare Allowed Amount 110399.02
Total Medical Medicare Payment Amount 80763.09
Total Medical Medicare Standardized Payment Amount 75759.14
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 118
Number Of Beneficiaries Age 75 to 84 79
Number Of Beneficiaries Age Greater 84 38
Number Of Female Beneficiaries 210
Number Of Male Beneficiaries 55
Number Of Non Hispanic White Beneficiaries 244
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 231
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 11
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 25
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 26
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.2387

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