National Provider Identifier [NPI]: |
1003833781 |
Last Name Of The Provider |
PANDIT |
First Name Of The Provider |
SAMEER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 MEDICAL PARK DRIVE |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
20902 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
192 |
Number Of Services |
12800 |
Number Of Medicare Beneficiaries |
4390 |
Total Submitted Charge Amount |
1437683.32 |
Total Medicare Allowed Amount |
430422.68 |
Total Medicare Payment Amount |
336843.41 |
Total Medicare Standardized Payment Amount |
304530.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4178 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
7208.32 |
Total Drug Medicare AllowedAmount |
1915.12 |
Total Drug Medicare PaymentAmount |
1420.06 |
Total Drug Medicare Standardized Payment Amount |
1420.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
190 |
Number Of Medical Services |
8622 |
Number Of Medicare Beneficiaries With Medical Services |
4390 |
Total Medical Submitted Charge Amount |
1430475 |
Total Medical Medicare Allowed Amount |
428507.56 |
Total Medical Medicare Payment Amount |
335423.35 |
Total Medical Medicare Standardized Payment Amount |
303110.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
507 |
Number Of Beneficiaries Age 65 to 74 |
1413 |
Number Of Beneficiaries Age 75 to 84 |
1342 |
Number Of Beneficiaries Age Greater 84 |
1128 |
Number Of Female Beneficiaries |
2766 |
Number Of Male Beneficiaries |
1624 |
Number Of Non Hispanic White Beneficiaries |
2230 |
Number Of Black or African American Beneficiaries |
1529 |
Number Of AsianPacific Islander Beneficiaries |
256 |
Number Of Hispanic Beneficiaries |
282 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1041 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.8475 |