| National Provider Identifier [NPI]: | 1215994892 |
| Last Name Of The Provider | NANDA |
| First Name Of The Provider | ARDAMAN |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12266 DE PAUL DR |
| Street Address 2 Of The Provider | 205 |
| City Of The Provider | BRIDGETON |
| Zip Code Of The Provider | 630442514 |
| State Code Of The Provider | MO |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 77 |
| Number Of Services | 8275 |
| Number Of Medicare Beneficiaries | 3432 |
| Total Submitted Charge Amount | 899571 |
| Total Medicare Allowed Amount | 409383.04 |
| Total Medicare Payment Amount | 311785.23 |
| Total Medicare Standardized Payment Amount | 316112.99 |
| 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 | 77 |
| Number Of Medical Services | 8275 |
| Number Of Medicare Beneficiaries With Medical Services | 3432 |
| Total Medical Submitted Charge Amount | 899571 |
| Total Medical Medicare Allowed Amount | 409383.04 |
| Total Medical Medicare Payment Amount | 311785.23 |
| Total Medical Medicare Standardized Payment Amount | 316112.99 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 752 |
| Number Of Beneficiaries Age 65 to 74 | 1085 |
| Number Of Beneficiaries Age 75 to 84 | 933 |
| Number Of Beneficiaries Age Greater 84 | 662 |
| Number Of Female Beneficiaries | 1914 |
| Number Of Male Beneficiaries | 1518 |
| Number Of Non Hispanic White Beneficiaries | 2551 |
| Number Of Black or African American Beneficiaries | 804 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 28 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2465 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 967 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 61 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.1653 |