National Provider Identifier [NPI]: |
1447200480 |
Last Name Of The Provider |
RANADIVE |
First Name Of The Provider |
RAJINA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
141 LYNCH CREEK WAY STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
PETALUMA |
Zip Code Of The Provider |
949542390 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
7503 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
496456 |
Total Medicare Allowed Amount |
293187.84 |
Total Medicare Payment Amount |
214585.57 |
Total Medicare Standardized Payment Amount |
208772.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4103 |
Number Of Medicare Beneficiaries With Drug Services |
223 |
Total Drug Submitted ChargeAmount |
146103 |
Total Drug Medicare AllowedAmount |
64398.91 |
Total Drug Medicare PaymentAmount |
51809.32 |
Total Drug Medicare Standardized Payment Amount |
51809.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
3400 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
350353 |
Total Medical Medicare Allowed Amount |
228788.93 |
Total Medical Medicare Payment Amount |
162776.25 |
Total Medical Medicare Standardized Payment Amount |
156963.38 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
594 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
588 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1622 |