National Provider Identifier [NPI]: |
1972787497 |
Last Name Of The Provider |
RAYA |
First Name Of The Provider |
VIKRAM |
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 |
8116 GOOD LUCK RD |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
LANHAM |
Zip Code Of The Provider |
207063502 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4256 |
Number Of Medicare Beneficiaries |
1376 |
Total Submitted Charge Amount |
1166397.64 |
Total Medicare Allowed Amount |
410007.11 |
Total Medicare Payment Amount |
312155.84 |
Total Medicare Standardized Payment Amount |
282744.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
6800 |
Total Drug Medicare AllowedAmount |
3594.91 |
Total Drug Medicare PaymentAmount |
2818.41 |
Total Drug Medicare Standardized Payment Amount |
2818.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4188 |
Number Of Medicare Beneficiaries With Medical Services |
1376 |
Total Medical Submitted Charge Amount |
1159597.64 |
Total Medical Medicare Allowed Amount |
406412.2 |
Total Medical Medicare Payment Amount |
309337.43 |
Total Medical Medicare Standardized Payment Amount |
279925.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
498 |
Number Of Beneficiaries Age 75 to 84 |
420 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
820 |
Number Of Male Beneficiaries |
556 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
1001 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1030 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
346 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.4076 |