National Provider Identifier [NPI]: |
1174547590 |
Last Name Of The Provider |
RAO |
First Name Of The Provider |
ARUN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4025 E SOUTHCROSS BLVD |
Street Address 2 Of The Provider |
BLDG.#5, SUITE#30 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782223641 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
115 |
Number Of Services |
67917 |
Number Of Medicare Beneficiaries |
484 |
Total Submitted Charge Amount |
5681153.45 |
Total Medicare Allowed Amount |
1472407.35 |
Total Medicare Payment Amount |
1150792.72 |
Total Medicare Standardized Payment Amount |
1156628.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
61043 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
4703499 |
Total Drug Medicare AllowedAmount |
1248978.28 |
Total Drug Medicare PaymentAmount |
972883.4 |
Total Drug Medicare Standardized Payment Amount |
972883.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
6874 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
977654.45 |
Total Medical Medicare Allowed Amount |
223429.07 |
Total Medical Medicare Payment Amount |
177909.32 |
Total Medical Medicare Standardized Payment Amount |
183744.9 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
368 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
366 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1906 |