National Provider Identifier [NPI]: |
1518989847 |
Last Name Of The Provider |
GANDHI |
First Name Of The Provider |
AASHISH |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
602 W UNIVERSITY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
URBANA |
Zip Code Of The Provider |
618012530 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
13852 |
Number Of Medicare Beneficiaries |
1100 |
Total Submitted Charge Amount |
4813305 |
Total Medicare Allowed Amount |
2139460.04 |
Total Medicare Payment Amount |
1643480.38 |
Total Medicare Standardized Payment Amount |
1661369.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
7017 |
Number Of Medicare Beneficiaries With Drug Services |
350 |
Total Drug Submitted ChargeAmount |
1938220 |
Total Drug Medicare AllowedAmount |
1484276.51 |
Total Drug Medicare PaymentAmount |
1163636.47 |
Total Drug Medicare Standardized Payment Amount |
1163636.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
6835 |
Number Of Medicare Beneficiaries With Medical Services |
1100 |
Total Medical Submitted Charge Amount |
2875085 |
Total Medical Medicare Allowed Amount |
655183.53 |
Total Medical Medicare Payment Amount |
479843.91 |
Total Medical Medicare Standardized Payment Amount |
497733.03 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
321 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
1030 |
Number Of Black or African American Beneficiaries |
41 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
987 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3475 |