National Provider Identifier [NPI]: |
1386753952 |
Last Name Of The Provider |
PAL |
First Name Of The Provider |
SUBHASHISH |
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 |
44 S WASHINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENSBURG |
Zip Code Of The Provider |
156012768 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1578 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
210261 |
Total Medicare Allowed Amount |
114479.3 |
Total Medicare Payment Amount |
86523.96 |
Total Medicare Standardized Payment Amount |
90969.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
13600 |
Total Drug Medicare AllowedAmount |
3610.15 |
Total Drug Medicare PaymentAmount |
2830.34 |
Total Drug Medicare Standardized Payment Amount |
2830.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
1510 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
196661 |
Total Medical Medicare Allowed Amount |
110869.15 |
Total Medical Medicare Payment Amount |
83693.62 |
Total Medical Medicare Standardized Payment Amount |
88138.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
513 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6695 |