National Provider Identifier [NPI]: |
1043276900 |
Last Name Of The Provider |
CHANDAK |
First Name Of The Provider |
PUNEET |
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 |
2191 MOWRY AVE |
Street Address 2 Of The Provider |
SUITE 500-H |
City Of The Provider |
FREMONT |
Zip Code Of The Provider |
945381725 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
35616 |
Number Of Medicare Beneficiaries |
1318 |
Total Submitted Charge Amount |
7202057.76 |
Total Medicare Allowed Amount |
2800850.23 |
Total Medicare Payment Amount |
2166068.82 |
Total Medicare Standardized Payment Amount |
2039984.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
24886 |
Number Of Medicare Beneficiaries With Drug Services |
690 |
Total Drug Submitted ChargeAmount |
135170.3 |
Total Drug Medicare AllowedAmount |
30093.54 |
Total Drug Medicare PaymentAmount |
23396.68 |
Total Drug Medicare Standardized Payment Amount |
23396.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
10730 |
Number Of Medicare Beneficiaries With Medical Services |
1317 |
Total Medical Submitted Charge Amount |
7066887.46 |
Total Medical Medicare Allowed Amount |
2770756.69 |
Total Medical Medicare Payment Amount |
2142672.14 |
Total Medical Medicare Standardized Payment Amount |
2016587.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
427 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
722 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
287 |
Number Of Black or African American Beneficiaries |
165 |
Number Of AsianPacific Islander Beneficiaries |
379 |
Number Of Hispanic Beneficiaries |
447 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
861 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4246 |