National Provider Identifier [NPI]: |
1356469845 |
Last Name Of The Provider |
CHOPRA |
First Name Of The Provider |
RAJIV |
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 |
3700 CALIFORNIA ST |
Street Address 2 Of The Provider |
SUITE G350 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941181618 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
5783 |
Number Of Medicare Beneficiaries |
1527 |
Total Submitted Charge Amount |
1073437.3 |
Total Medicare Allowed Amount |
171238.26 |
Total Medicare Payment Amount |
129442.63 |
Total Medicare Standardized Payment Amount |
124823.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3882 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
11869.7 |
Total Drug Medicare AllowedAmount |
1294.64 |
Total Drug Medicare PaymentAmount |
1014.96 |
Total Drug Medicare Standardized Payment Amount |
1014.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
1901 |
Number Of Medicare Beneficiaries With Medical Services |
1527 |
Total Medical Submitted Charge Amount |
1061567.6 |
Total Medical Medicare Allowed Amount |
169943.62 |
Total Medical Medicare Payment Amount |
128427.67 |
Total Medical Medicare Standardized Payment Amount |
123808.9 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
312 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
908 |
Number Of Male Beneficiaries |
619 |
Number Of Non Hispanic White Beneficiaries |
1137 |
Number Of Black or African American Beneficiaries |
129 |
Number Of AsianPacific Islander Beneficiaries |
111 |
Number Of Hispanic Beneficiaries |
114 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
945 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
582 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7237 |