National Provider Identifier [NPI]: |
1487616017 |
Last Name Of The Provider |
RAIKER |
First Name Of The Provider |
ANIL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6499 38TH AVE N |
Street Address 2 Of The Provider |
SUITE G1 |
City Of The Provider |
ST PETERSBURG |
Zip Code Of The Provider |
337101656 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
125457 |
Number Of Medicare Beneficiaries |
455 |
Total Submitted Charge Amount |
4575096.28 |
Total Medicare Allowed Amount |
2180766.99 |
Total Medicare Payment Amount |
1714997.33 |
Total Medicare Standardized Payment Amount |
1702746.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
111366 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
3499308.28 |
Total Drug Medicare AllowedAmount |
1669927.29 |
Total Drug Medicare PaymentAmount |
1307290.2 |
Total Drug Medicare Standardized Payment Amount |
1307290.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
14091 |
Number Of Medicare Beneficiaries With Medical Services |
455 |
Total Medical Submitted Charge Amount |
1075788 |
Total Medical Medicare Allowed Amount |
510839.7 |
Total Medical Medicare Payment Amount |
407707.13 |
Total Medical Medicare Standardized Payment Amount |
395456.55 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
385 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.603 |