National Provider Identifier [NPI]: |
1164497293 |
Last Name Of The Provider |
RAO |
First Name Of The Provider |
SUNDER |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 EHRMAN RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
CRANBERRY TWP |
Zip Code Of The Provider |
160662271 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2165 |
Number Of Medicare Beneficiaries |
724 |
Total Submitted Charge Amount |
281278.24 |
Total Medicare Allowed Amount |
172077.76 |
Total Medicare Payment Amount |
127293.28 |
Total Medicare Standardized Payment Amount |
133513.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
4141.24 |
Total Drug Medicare AllowedAmount |
4027.21 |
Total Drug Medicare PaymentAmount |
3012.25 |
Total Drug Medicare Standardized Payment Amount |
3012.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2089 |
Number Of Medicare Beneficiaries With Medical Services |
724 |
Total Medical Submitted Charge Amount |
277137 |
Total Medical Medicare Allowed Amount |
168050.55 |
Total Medical Medicare Payment Amount |
124281.03 |
Total Medical Medicare Standardized Payment Amount |
130501.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
696 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
603 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5899 |