National Provider Identifier [NPI]: |
1245209048 |
Last Name Of The Provider |
RAJARATNAM |
First Name Of The Provider |
YOSHANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 1ST ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338814129 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
152 |
Number Of Services |
5149 |
Number Of Medicare Beneficiaries |
280 |
Total Submitted Charge Amount |
231865.6 |
Total Medicare Allowed Amount |
124407.97 |
Total Medicare Payment Amount |
94625.02 |
Total Medicare Standardized Payment Amount |
96733.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1365 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
39129 |
Total Drug Medicare AllowedAmount |
16568.6 |
Total Drug Medicare PaymentAmount |
13373.17 |
Total Drug Medicare Standardized Payment Amount |
13373.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
3784 |
Number Of Medicare Beneficiaries With Medical Services |
280 |
Total Medical Submitted Charge Amount |
192736.6 |
Total Medical Medicare Allowed Amount |
107839.37 |
Total Medical Medicare Payment Amount |
81251.85 |
Total Medical Medicare Standardized Payment Amount |
83360.46 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
88 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0184 |