National Provider Identifier [NPI]: |
1417914193 |
Last Name Of The Provider |
BATARSE |
First Name Of The Provider |
RODOLFO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
71511 HIGHWAY 111 |
Street Address 2 Of The Provider |
SUITE H |
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922704465 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
107772 |
Number Of Medicare Beneficiaries |
752 |
Total Submitted Charge Amount |
1626716.24 |
Total Medicare Allowed Amount |
720789.16 |
Total Medicare Payment Amount |
557385.41 |
Total Medicare Standardized Payment Amount |
546387.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
102754 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
130697.6 |
Total Drug Medicare AllowedAmount |
74763.35 |
Total Drug Medicare PaymentAmount |
58712.25 |
Total Drug Medicare Standardized Payment Amount |
58712.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5018 |
Number Of Medicare Beneficiaries With Medical Services |
752 |
Total Medical Submitted Charge Amount |
1496018.64 |
Total Medical Medicare Allowed Amount |
646025.81 |
Total Medical Medicare Payment Amount |
498673.16 |
Total Medical Medicare Standardized Payment Amount |
487675.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
534 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
161 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
3.0852 |