National Provider Identifier [NPI]: |
1649269879 |
Last Name Of The Provider |
SHERIGAR |
First Name Of The Provider |
RATHNAKAR |
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 |
1970 ROANOKE BOULEVARD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALEM |
Zip Code Of The Provider |
241536404 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
152 |
Number Of Services |
6521 |
Number Of Medicare Beneficiaries |
3663 |
Total Submitted Charge Amount |
448879.5 |
Total Medicare Allowed Amount |
172792.23 |
Total Medicare Payment Amount |
130043.93 |
Total Medicare Standardized Payment Amount |
134385.75 |
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 |
152 |
Number Of Medical Services |
6521 |
Number Of Medicare Beneficiaries With Medical Services |
3663 |
Total Medical Submitted Charge Amount |
448879.5 |
Total Medical Medicare Allowed Amount |
172792.23 |
Total Medical Medicare Payment Amount |
130043.93 |
Total Medical Medicare Standardized Payment Amount |
134385.75 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
883 |
Number Of Beneficiaries Age 65 to 74 |
1109 |
Number Of Beneficiaries Age 75 to 84 |
1042 |
Number Of Beneficiaries Age Greater 84 |
629 |
Number Of Female Beneficiaries |
2072 |
Number Of Male Beneficiaries |
1591 |
Number Of Non Hispanic White Beneficiaries |
3211 |
Number Of Black or African American Beneficiaries |
398 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1196 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9274 |