| National Provider Identifier [NPI]: | 1265519052 |
| Last Name Of The Provider | HIPPALGAONKAR |
| First Name Of The Provider | RAJENDRA |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 932 SAXON BLVD |
| Street Address 2 Of The Provider | STE A |
| City Of The Provider | ORANGE CITY |
| Zip Code Of The Provider | 327638258 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 97 |
| Number Of Services | 12945 |
| Number Of Medicare Beneficiaries | 1558 |
| Total Submitted Charge Amount | 1007241.35 |
| Total Medicare Allowed Amount | 675847.34 |
| Total Medicare Payment Amount | 512734.06 |
| Total Medicare Standardized Payment Amount | 516678.94 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3970 |
| Number Of Medicare Beneficiaries With Drug Services | 123 |
| Total Drug Submitted ChargeAmount | 25445.78 |
| Total Drug Medicare AllowedAmount | 16840.06 |
| Total Drug Medicare PaymentAmount | 13202.59 |
| Total Drug Medicare Standardized Payment Amount | 13202.59 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 94 |
| Number Of Medical Services | 8975 |
| Number Of Medicare Beneficiaries With Medical Services | 1558 |
| Total Medical Submitted Charge Amount | 981795.57 |
| Total Medical Medicare Allowed Amount | 659007.28 |
| Total Medical Medicare Payment Amount | 499531.47 |
| Total Medical Medicare Standardized Payment Amount | 503476.35 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 170 |
| Number Of Beneficiaries Age 65 to 74 | 489 |
| Number Of Beneficiaries Age 75 to 84 | 507 |
| Number Of Beneficiaries Age Greater 84 | 392 |
| Number Of Female Beneficiaries | 828 |
| Number Of Male Beneficiaries | 730 |
| Number Of Non Hispanic White Beneficiaries | 1262 |
| Number Of Black or African American Beneficiaries | 121 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 145 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 19 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1242 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 316 |
| Percent Of With Atrial Fibrillation | 32 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 68 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.0313 |