National Provider Identifier [NPI]: |
1033169859 |
Last Name Of The Provider |
RAO |
First Name Of The Provider |
DINESH |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 SE 18TH AVE |
Street Address 2 Of The Provider |
BLDG 300 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344718215 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
137 |
Number Of Services |
38586 |
Number Of Medicare Beneficiaries |
1988 |
Total Submitted Charge Amount |
2366246.44 |
Total Medicare Allowed Amount |
948547.92 |
Total Medicare Payment Amount |
723318.48 |
Total Medicare Standardized Payment Amount |
728715.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
17986 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
240283.96 |
Total Drug Medicare AllowedAmount |
92777.89 |
Total Drug Medicare PaymentAmount |
72119.39 |
Total Drug Medicare Standardized Payment Amount |
72119.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
20600 |
Number Of Medicare Beneficiaries With Medical Services |
1988 |
Total Medical Submitted Charge Amount |
2125962.48 |
Total Medical Medicare Allowed Amount |
855770.03 |
Total Medical Medicare Payment Amount |
651199.09 |
Total Medical Medicare Standardized Payment Amount |
656596.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
948 |
Number Of Beneficiaries Age 75 to 84 |
781 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
435 |
Number Of Male Beneficiaries |
1553 |
Number Of Non Hispanic White Beneficiaries |
1846 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1912 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.282 |