National Provider Identifier [NPI]: |
1598799413 |
Last Name Of The Provider |
PASPULATI |
First Name Of The Provider |
RAJ |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11100 EUCLID AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441061716 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
1960 |
Number Of Medicare Beneficiaries |
1401 |
Total Submitted Charge Amount |
377760 |
Total Medicare Allowed Amount |
123672.79 |
Total Medicare Payment Amount |
91955.53 |
Total Medicare Standardized Payment Amount |
96631 |
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 |
74 |
Number Of Medical Services |
1960 |
Number Of Medicare Beneficiaries With Medical Services |
1401 |
Total Medical Submitted Charge Amount |
377760 |
Total Medical Medicare Allowed Amount |
123672.79 |
Total Medical Medicare Payment Amount |
91955.53 |
Total Medical Medicare Standardized Payment Amount |
96631 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
439 |
Number Of Beneficiaries Age 65 to 74 |
506 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
678 |
Number Of Non Hispanic White Beneficiaries |
818 |
Number Of Black or African American Beneficiaries |
522 |
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 |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
505 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.4735 |