National Provider Identifier [NPI]: |
1053375428 |
Last Name Of The Provider |
SETHI |
First Name Of The Provider |
RAJESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 SOUTH UNIVERSITY AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722055314 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
19481 |
Number Of Medicare Beneficiaries |
6025 |
Total Submitted Charge Amount |
1337037 |
Total Medicare Allowed Amount |
411957.19 |
Total Medicare Payment Amount |
309167.56 |
Total Medicare Standardized Payment Amount |
345239.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
10584 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
7336 |
Total Drug Medicare AllowedAmount |
3102.42 |
Total Drug Medicare PaymentAmount |
2401.41 |
Total Drug Medicare Standardized Payment Amount |
2401.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
203 |
Number Of Medical Services |
8897 |
Number Of Medicare Beneficiaries With Medical Services |
6025 |
Total Medical Submitted Charge Amount |
1329701 |
Total Medical Medicare Allowed Amount |
408854.77 |
Total Medical Medicare Payment Amount |
306766.15 |
Total Medical Medicare Standardized Payment Amount |
342837.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1233 |
Number Of Beneficiaries Age 65 to 74 |
2156 |
Number Of Beneficiaries Age 75 to 84 |
1749 |
Number Of Beneficiaries Age Greater 84 |
887 |
Number Of Female Beneficiaries |
3656 |
Number Of Male Beneficiaries |
2369 |
Number Of Non Hispanic White Beneficiaries |
5073 |
Number Of Black or African American Beneficiaries |
831 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
4497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1528 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.4974 |