National Provider Identifier [NPI]: |
1386632883 |
Last Name Of The Provider |
PUNJWANI |
First Name Of The Provider |
SOHAIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7481 W OAKLAND PARK BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAUDERHILL |
Zip Code Of The Provider |
333194985 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
5984 |
Number Of Medicare Beneficiaries |
1111 |
Total Submitted Charge Amount |
977280.36 |
Total Medicare Allowed Amount |
471291.88 |
Total Medicare Payment Amount |
368346.37 |
Total Medicare Standardized Payment Amount |
351124.08 |
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 |
32 |
Number Of Medical Services |
5984 |
Number Of Medicare Beneficiaries With Medical Services |
1111 |
Total Medical Submitted Charge Amount |
977280.36 |
Total Medical Medicare Allowed Amount |
471291.88 |
Total Medical Medicare Payment Amount |
368346.37 |
Total Medical Medicare Standardized Payment Amount |
351124.08 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
701 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
653 |
Number Of Black or African American Beneficiaries |
292 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
142 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
243 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
868 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
75 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9564 |