National Provider Identifier [NPI]: |
1548397995 |
Last Name Of The Provider |
SANDHU |
First Name Of The Provider |
PRITPAL |
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 |
14416 W MEEKER BLVD |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
SUN CITY WEST |
Zip Code Of The Provider |
853755284 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6762 |
Number Of Medicare Beneficiaries |
2073 |
Total Submitted Charge Amount |
1047967.6 |
Total Medicare Allowed Amount |
501843.06 |
Total Medicare Payment Amount |
361436.38 |
Total Medicare Standardized Payment Amount |
363198.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
337 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
7743.6 |
Total Drug Medicare AllowedAmount |
4717.34 |
Total Drug Medicare PaymentAmount |
4417.21 |
Total Drug Medicare Standardized Payment Amount |
4417.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
6425 |
Number Of Medicare Beneficiaries With Medical Services |
2073 |
Total Medical Submitted Charge Amount |
1040224 |
Total Medical Medicare Allowed Amount |
497125.72 |
Total Medical Medicare Payment Amount |
357019.17 |
Total Medical Medicare Standardized Payment Amount |
358781.77 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
827 |
Number Of Beneficiaries Age 75 to 84 |
835 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
1098 |
Number Of Male Beneficiaries |
975 |
Number Of Non Hispanic White Beneficiaries |
1990 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0305 |