National Provider Identifier [NPI]: |
1700218427 |
Last Name Of The Provider |
PANDYA |
First Name Of The Provider |
PAYAL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1355 REMINGTON RD |
Street Address 2 Of The Provider |
SUITE H |
City Of The Provider |
SCHAUMBURG |
Zip Code Of The Provider |
601734832 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
3682 |
Number Of Medicare Beneficiaries |
949 |
Total Submitted Charge Amount |
560270 |
Total Medicare Allowed Amount |
400368.93 |
Total Medicare Payment Amount |
312962.77 |
Total Medicare Standardized Payment Amount |
345910.04 |
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 |
18 |
Number Of Medical Services |
3682 |
Number Of Medicare Beneficiaries With Medical Services |
949 |
Total Medical Submitted Charge Amount |
560270 |
Total Medical Medicare Allowed Amount |
400368.93 |
Total Medical Medicare Payment Amount |
312962.77 |
Total Medical Medicare Standardized Payment Amount |
345910.04 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
101 |
Number Of Black or African American Beneficiaries |
639 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
283 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
666 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8996 |