National Provider Identifier [NPI]: |
1306808720 |
Last Name Of The Provider |
PARDY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1325 S CLIFF AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIOUX FALLS |
Zip Code Of The Provider |
571051007 |
State Code Of The Provider |
SD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
3691 |
Number Of Medicare Beneficiaries |
2428 |
Total Submitted Charge Amount |
201741.32 |
Total Medicare Allowed Amount |
177804.05 |
Total Medicare Payment Amount |
131051.31 |
Total Medicare Standardized Payment Amount |
140562.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
3691 |
Number Of Medicare Beneficiaries With Medical Services |
2428 |
Total Medical Submitted Charge Amount |
201741.32 |
Total Medical Medicare Allowed Amount |
177804.05 |
Total Medical Medicare Payment Amount |
131051.31 |
Total Medical Medicare Standardized Payment Amount |
140562.12 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
419 |
Number Of Beneficiaries Age 65 to 74 |
784 |
Number Of Beneficiaries Age 75 to 84 |
764 |
Number Of Beneficiaries Age Greater 84 |
461 |
Number Of Female Beneficiaries |
1353 |
Number Of Male Beneficiaries |
1075 |
Number Of Non Hispanic White Beneficiaries |
2318 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1905 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
523 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.5428 |