National Provider Identifier [NPI]: |
1851684245 |
Last Name Of The Provider |
VAID |
First Name Of The Provider |
SANDEEP |
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 |
1665 HIGHWAY 34 E |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NEWNAN |
Zip Code Of The Provider |
302652403 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
18222 |
Number Of Medicare Beneficiaries |
753 |
Total Submitted Charge Amount |
1440362 |
Total Medicare Allowed Amount |
550692.09 |
Total Medicare Payment Amount |
484223.91 |
Total Medicare Standardized Payment Amount |
518638.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
3480 |
Total Drug Medicare AllowedAmount |
1163.16 |
Total Drug Medicare PaymentAmount |
911.94 |
Total Drug Medicare Standardized Payment Amount |
911.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
18173 |
Number Of Medicare Beneficiaries With Medical Services |
753 |
Total Medical Submitted Charge Amount |
1436882 |
Total Medical Medicare Allowed Amount |
549528.93 |
Total Medical Medicare Payment Amount |
483311.97 |
Total Medical Medicare Standardized Payment Amount |
517726.16 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
330 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
626 |
Number Of Black or African American Beneficiaries |
114 |
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 |
534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
219 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3377 |