National Provider Identifier [NPI]: |
1578509113 |
Last Name Of The Provider |
BELANI |
First Name Of The Provider |
RAJESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3075 HEALTH CENTER DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921232773 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
75506 |
Number Of Medicare Beneficiaries |
242 |
Total Submitted Charge Amount |
2392841.5 |
Total Medicare Allowed Amount |
1150094.21 |
Total Medicare Payment Amount |
899167.2 |
Total Medicare Standardized Payment Amount |
888375.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
47 |
Number Of Drug Services |
70582 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
2024071 |
Total Drug Medicare AllowedAmount |
945674.72 |
Total Drug Medicare PaymentAmount |
740964.34 |
Total Drug Medicare Standardized Payment Amount |
740964.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
4924 |
Number Of Medicare Beneficiaries With Medical Services |
242 |
Total Medical Submitted Charge Amount |
368770.5 |
Total Medical Medicare Allowed Amount |
204419.49 |
Total Medical Medicare Payment Amount |
158202.86 |
Total Medical Medicare Standardized Payment Amount |
147410.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
179 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7985 |