National Provider Identifier [NPI]: |
1184788747 |
Last Name Of The Provider |
RAI |
First Name Of The Provider |
HAR |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4700 LAS VEGAS BLVD N |
Street Address 2 Of The Provider |
DEPARTMENT OF PATHOLOGY |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891916600 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
12429 |
Number Of Medicare Beneficiaries |
4133 |
Total Submitted Charge Amount |
2344692 |
Total Medicare Allowed Amount |
671885.74 |
Total Medicare Payment Amount |
514478.36 |
Total Medicare Standardized Payment Amount |
341396.28 |
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 |
11 |
Number Of Medical Services |
12429 |
Number Of Medicare Beneficiaries With Medical Services |
4133 |
Total Medical Submitted Charge Amount |
2344692 |
Total Medical Medicare Allowed Amount |
671885.74 |
Total Medical Medicare Payment Amount |
514478.36 |
Total Medical Medicare Standardized Payment Amount |
341396.28 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
535 |
Number Of Beneficiaries Age 65 to 74 |
2385 |
Number Of Beneficiaries Age 75 to 84 |
1072 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
2198 |
Number Of Male Beneficiaries |
1935 |
Number Of Non Hispanic White Beneficiaries |
3453 |
Number Of Black or African American Beneficiaries |
216 |
Number Of AsianPacific Islander Beneficiaries |
105 |
Number Of Hispanic Beneficiaries |
254 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
77 |
Number Of Beneficiaries With Medicare Only Entitlement |
3521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
612 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9106 |