National Provider Identifier [NPI]: |
1578548970 |
Last Name Of The Provider |
RAO |
First Name Of The Provider |
SRISHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2111 SW 20TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344717734 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
14547 |
Number Of Medicare Beneficiaries |
2452 |
Total Submitted Charge Amount |
2750231.46 |
Total Medicare Allowed Amount |
1288931.68 |
Total Medicare Payment Amount |
963801.84 |
Total Medicare Standardized Payment Amount |
980164.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1120 |
Number Of Medicare Beneficiaries With Drug Services |
278 |
Total Drug Submitted ChargeAmount |
117048 |
Total Drug Medicare AllowedAmount |
59319.76 |
Total Drug Medicare PaymentAmount |
45931.12 |
Total Drug Medicare Standardized Payment Amount |
45931.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
13427 |
Number Of Medicare Beneficiaries With Medical Services |
2452 |
Total Medical Submitted Charge Amount |
2633183.46 |
Total Medical Medicare Allowed Amount |
1229611.92 |
Total Medical Medicare Payment Amount |
917870.72 |
Total Medical Medicare Standardized Payment Amount |
934233.77 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
903 |
Number Of Beneficiaries Age 75 to 84 |
1073 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
1410 |
Number Of Male Beneficiaries |
1042 |
Number Of Non Hispanic White Beneficiaries |
2267 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2259 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5654 |