National Provider Identifier [NPI]: |
1093757403 |
Last Name Of The Provider |
GANDHI |
First Name Of The Provider |
SUNIL |
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 |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
177 |
Number Of Services |
25146 |
Number Of Medicare Beneficiaries |
3317 |
Total Submitted Charge Amount |
1512841 |
Total Medicare Allowed Amount |
315811.95 |
Total Medicare Payment Amount |
244725.18 |
Total Medicare Standardized Payment Amount |
216300.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
20374 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
24041 |
Total Drug Medicare AllowedAmount |
6388.62 |
Total Drug Medicare PaymentAmount |
4980.59 |
Total Drug Medicare Standardized Payment Amount |
4980.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
173 |
Number Of Medical Services |
4772 |
Number Of Medicare Beneficiaries With Medical Services |
3317 |
Total Medical Submitted Charge Amount |
1488800 |
Total Medical Medicare Allowed Amount |
309423.33 |
Total Medical Medicare Payment Amount |
239744.59 |
Total Medical Medicare Standardized Payment Amount |
211320.04 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
336 |
Number Of Beneficiaries Age 65 to 74 |
1172 |
Number Of Beneficiaries Age 75 to 84 |
1069 |
Number Of Beneficiaries Age Greater 84 |
740 |
Number Of Female Beneficiaries |
1977 |
Number Of Male Beneficiaries |
1340 |
Number Of Non Hispanic White Beneficiaries |
2669 |
Number Of Black or African American Beneficiaries |
148 |
Number Of AsianPacific Islander Beneficiaries |
199 |
Number Of Hispanic Beneficiaries |
230 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2670 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
647 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7456 |