National Provider Identifier [NPI]: |
1386682888 |
Last Name Of The Provider |
PUNJABI |
First Name Of The Provider |
PRIYA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1629 BRIDGETOWN PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FEASTERVILLE |
Zip Code Of The Provider |
190534218 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
2398 |
Number Of Medicare Beneficiaries |
62 |
Total Submitted Charge Amount |
178820 |
Total Medicare Allowed Amount |
107096.11 |
Total Medicare Payment Amount |
83432.75 |
Total Medicare Standardized Payment Amount |
79413.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
797 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
32055 |
Total Drug Medicare AllowedAmount |
20919.9 |
Total Drug Medicare PaymentAmount |
17018.88 |
Total Drug Medicare Standardized Payment Amount |
17018.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1601 |
Number Of Medicare Beneficiaries With Medical Services |
62 |
Total Medical Submitted Charge Amount |
146765 |
Total Medical Medicare Allowed Amount |
86176.21 |
Total Medical Medicare Payment Amount |
66413.87 |
Total Medical Medicare Standardized Payment Amount |
62394.71 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
30 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
31 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
50 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
43 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
|
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
29 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4954 |