National Provider Identifier [NPI]: |
1538132873 |
Last Name Of The Provider |
LAL |
First Name Of The Provider |
PANKAJ |
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 |
11119 ROCKVILLE PIKE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208523143 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
6949 |
Number Of Medicare Beneficiaries |
1239 |
Total Submitted Charge Amount |
1216520.5 |
Total Medicare Allowed Amount |
636077.32 |
Total Medicare Payment Amount |
481695.11 |
Total Medicare Standardized Payment Amount |
432175.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2890 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
19443.5 |
Total Drug Medicare AllowedAmount |
13730.21 |
Total Drug Medicare PaymentAmount |
10759.26 |
Total Drug Medicare Standardized Payment Amount |
10759.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
4059 |
Number Of Medicare Beneficiaries With Medical Services |
1239 |
Total Medical Submitted Charge Amount |
1197077 |
Total Medical Medicare Allowed Amount |
622347.11 |
Total Medical Medicare Payment Amount |
470935.85 |
Total Medical Medicare Standardized Payment Amount |
421416.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
439 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
703 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
657 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
228 |
Number Of Hispanic Beneficiaries |
117 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
777 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5493 |