National Provider Identifier [NPI]: |
1841451234 |
Last Name Of The Provider |
MOCHERLA |
First Name Of The Provider |
BHARAT |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7320 BACHELORS BUTTON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891314119 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3002 |
Number Of Medicare Beneficiaries |
500 |
Total Submitted Charge Amount |
3205240 |
Total Medicare Allowed Amount |
907483.77 |
Total Medicare Payment Amount |
703829.82 |
Total Medicare Standardized Payment Amount |
702451.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1216 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
486400 |
Total Drug Medicare AllowedAmount |
64367.24 |
Total Drug Medicare PaymentAmount |
50107.57 |
Total Drug Medicare Standardized Payment Amount |
50107.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1786 |
Number Of Medicare Beneficiaries With Medical Services |
500 |
Total Medical Submitted Charge Amount |
2718840 |
Total Medical Medicare Allowed Amount |
843116.53 |
Total Medical Medicare Payment Amount |
653722.25 |
Total Medical Medicare Standardized Payment Amount |
652344.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
328 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5391 |