National Provider Identifier [NPI]: |
1558324129 |
Last Name Of The Provider |
PANDIT |
First Name Of The Provider |
RENU |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4900 MERCURY DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481262947 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2506 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
214033 |
Total Medicare Allowed Amount |
146344.19 |
Total Medicare Payment Amount |
110441.57 |
Total Medicare Standardized Payment Amount |
107612.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
138 |
Total Drug Medicare AllowedAmount |
125.72 |
Total Drug Medicare PaymentAmount |
82.6 |
Total Drug Medicare Standardized Payment Amount |
82.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2453 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
213895 |
Total Medical Medicare Allowed Amount |
146218.47 |
Total Medical Medicare Payment Amount |
110358.97 |
Total Medical Medicare Standardized Payment Amount |
107529.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
281 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1935 |