National Provider Identifier [NPI]: |
1649277880 |
Last Name Of The Provider |
AILANI |
First Name Of The Provider |
RAJESH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1055 N DIXIE FWY |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
NEW SMYRNA BEACH |
Zip Code Of The Provider |
321686201 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
20365 |
Number Of Medicare Beneficiaries |
1661 |
Total Submitted Charge Amount |
2194317.82 |
Total Medicare Allowed Amount |
1032056.6 |
Total Medicare Payment Amount |
794674.34 |
Total Medicare Standardized Payment Amount |
791497.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
5560 |
Number Of Medicare Beneficiaries With Drug Services |
416 |
Total Drug Submitted ChargeAmount |
157791.92 |
Total Drug Medicare AllowedAmount |
72489.24 |
Total Drug Medicare PaymentAmount |
57731.85 |
Total Drug Medicare Standardized Payment Amount |
57731.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
14805 |
Number Of Medicare Beneficiaries With Medical Services |
1661 |
Total Medical Submitted Charge Amount |
2036525.9 |
Total Medical Medicare Allowed Amount |
959567.36 |
Total Medical Medicare Payment Amount |
736942.49 |
Total Medical Medicare Standardized Payment Amount |
733765.66 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
591 |
Number Of Beneficiaries Age 75 to 84 |
544 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
886 |
Number Of Male Beneficiaries |
775 |
Number Of Non Hispanic White Beneficiaries |
1522 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
66 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0472 |