Medicare Facts for Dr. Raja Tooma, MD


National Provider Identifier [NPI]: 1497714927
Last Name Of The Provider TOOMA
First Name Of The Provider RAJA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 13300 NEW AIRPORT RD
Street Address 2 Of The Provider SUITE 100
City Of The Provider AUBURN
Zip Code Of The Provider 956027407
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 980
Number Of Medicare Beneficiaries 114
Total Submitted Charge Amount 168616.02
Total Medicare Allowed Amount 83655.1
Total Medicare Payment Amount 62741.06
Total Medicare Standardized Payment Amount 60133.8
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 130
Number Of Medicare Beneficiaries With Drug Services 24
Total Drug Submitted ChargeAmount 2045.58
Total Drug Medicare AllowedAmount 428.09
Total Drug Medicare PaymentAmount 376.41
Total Drug Medicare Standardized Payment Amount 376.41
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 850
Number Of Medicare Beneficiaries With Medical Services 114
Total Medical Submitted Charge Amount 166570.44
Total Medical Medicare Allowed Amount 83227.01
Total Medical Medicare Payment Amount 62364.65
Total Medical Medicare Standardized Payment Amount 59757.39
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65 45
Number Of Beneficiaries Age 65 to 74 40
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 77
Number Of Male Beneficiaries 37
Number Of Non Hispanic White Beneficiaries 83
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 17
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 57
Number Of Beneficiaries With Medicare Medicaid Entitlement 57
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 11
Percent Of With Cancer 10
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 41
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 29
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 18
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0949

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