National Provider Identifier [NPI]: |
1386739027 |
Last Name Of The Provider |
RAJARATNAM |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44241 15TH ST W |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
935344037 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
7027 |
Number Of Medicare Beneficiaries |
818 |
Total Submitted Charge Amount |
2696166.98 |
Total Medicare Allowed Amount |
745386.05 |
Total Medicare Payment Amount |
563910.29 |
Total Medicare Standardized Payment Amount |
530294.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
881 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
289972 |
Total Drug Medicare AllowedAmount |
44707.7 |
Total Drug Medicare PaymentAmount |
34757.33 |
Total Drug Medicare Standardized Payment Amount |
34757.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
6146 |
Number Of Medicare Beneficiaries With Medical Services |
818 |
Total Medical Submitted Charge Amount |
2406194.98 |
Total Medical Medicare Allowed Amount |
700678.35 |
Total Medical Medicare Payment Amount |
529152.96 |
Total Medical Medicare Standardized Payment Amount |
495537.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
630 |
Number Of Non Hispanic White Beneficiaries |
613 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
617 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3766 |