National Provider Identifier [NPI]: |
1225064033 |
Last Name Of The Provider |
PANDYA |
First Name Of The Provider |
VIPUL |
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 |
1301 2ND AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
LARGO |
Zip Code Of The Provider |
337703120 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
7424 |
Number Of Medicare Beneficiaries |
1205 |
Total Submitted Charge Amount |
1349329 |
Total Medicare Allowed Amount |
679715.5 |
Total Medicare Payment Amount |
509983.57 |
Total Medicare Standardized Payment Amount |
520458.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
858 |
Number Of Medicare Beneficiaries With Drug Services |
226 |
Total Drug Submitted ChargeAmount |
80367 |
Total Drug Medicare AllowedAmount |
44764.75 |
Total Drug Medicare PaymentAmount |
34798.62 |
Total Drug Medicare Standardized Payment Amount |
34798.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
6566 |
Number Of Medicare Beneficiaries With Medical Services |
1205 |
Total Medical Submitted Charge Amount |
1268962 |
Total Medical Medicare Allowed Amount |
634950.75 |
Total Medical Medicare Payment Amount |
475184.95 |
Total Medical Medicare Standardized Payment Amount |
485660.22 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
460 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
594 |
Number Of Non Hispanic White Beneficiaries |
1149 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4329 |