National Provider Identifier [NPI]: |
1194041186 |
Last Name Of The Provider |
NAYEE |
First Name Of The Provider |
SANDIP |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 KUSER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
086913386 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
9160 |
Number Of Medicare Beneficiaries |
3157 |
Total Submitted Charge Amount |
894273.91 |
Total Medicare Allowed Amount |
301165.24 |
Total Medicare Payment Amount |
245234.93 |
Total Medicare Standardized Payment Amount |
238825.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3535 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
3385.42 |
Total Drug Medicare AllowedAmount |
2310.53 |
Total Drug Medicare PaymentAmount |
1811.53 |
Total Drug Medicare Standardized Payment Amount |
1811.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
5625 |
Number Of Medicare Beneficiaries With Medical Services |
3157 |
Total Medical Submitted Charge Amount |
890888.49 |
Total Medical Medicare Allowed Amount |
298854.71 |
Total Medical Medicare Payment Amount |
243423.4 |
Total Medical Medicare Standardized Payment Amount |
237013.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
668 |
Number Of Beneficiaries Age 65 to 74 |
1210 |
Number Of Beneficiaries Age 75 to 84 |
808 |
Number Of Beneficiaries Age Greater 84 |
471 |
Number Of Female Beneficiaries |
2157 |
Number Of Male Beneficiaries |
1000 |
Number Of Non Hispanic White Beneficiaries |
2915 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
2162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
995 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3746 |