National Provider Identifier [NPI]: |
1477708436 |
Last Name Of The Provider |
RATTAN |
First Name Of The Provider |
JASWINDER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 PLEASANT ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
DES MOINES |
Zip Code Of The Provider |
503091416 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2436 |
Number Of Medicare Beneficiaries |
626 |
Total Submitted Charge Amount |
403748 |
Total Medicare Allowed Amount |
209581.5 |
Total Medicare Payment Amount |
160550.19 |
Total Medicare Standardized Payment Amount |
156235.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
438 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
6154 |
Total Drug Medicare AllowedAmount |
5040.08 |
Total Drug Medicare PaymentAmount |
3891.67 |
Total Drug Medicare Standardized Payment Amount |
3891.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1998 |
Number Of Medicare Beneficiaries With Medical Services |
626 |
Total Medical Submitted Charge Amount |
397594 |
Total Medical Medicare Allowed Amount |
204541.42 |
Total Medical Medicare Payment Amount |
156658.52 |
Total Medical Medicare Standardized Payment Amount |
152343.59 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
540 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
426 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
4.0488 |