National Provider Identifier [NPI]: |
1013978899 |
Last Name Of The Provider |
RAO |
First Name Of The Provider |
RAMANI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
35 MASON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GENEVA |
Zip Code Of The Provider |
144561133 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
5497 |
Number Of Medicare Beneficiaries |
2338 |
Total Submitted Charge Amount |
667182.2 |
Total Medicare Allowed Amount |
173988.75 |
Total Medicare Payment Amount |
131480.21 |
Total Medicare Standardized Payment Amount |
138965.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
500 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
2520 |
Total Drug Medicare AllowedAmount |
998.15 |
Total Drug Medicare PaymentAmount |
759.84 |
Total Drug Medicare Standardized Payment Amount |
759.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
4997 |
Number Of Medicare Beneficiaries With Medical Services |
2338 |
Total Medical Submitted Charge Amount |
664662.2 |
Total Medical Medicare Allowed Amount |
172990.6 |
Total Medical Medicare Payment Amount |
130720.37 |
Total Medical Medicare Standardized Payment Amount |
138206.09 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
642 |
Number Of Beneficiaries Age 65 to 74 |
653 |
Number Of Beneficiaries Age 75 to 84 |
561 |
Number Of Beneficiaries Age Greater 84 |
482 |
Number Of Female Beneficiaries |
1480 |
Number Of Male Beneficiaries |
858 |
Number Of Non Hispanic White Beneficiaries |
2120 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
987 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3046 |