National Provider Identifier [NPI]: |
1063456564 |
Last Name Of The Provider |
VYAS |
First Name Of The Provider |
RAJASHREE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LANE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
194 |
Number Of Services |
15773 |
Number Of Medicare Beneficiaries |
2928 |
Total Submitted Charge Amount |
848152.4 |
Total Medicare Allowed Amount |
226309.56 |
Total Medicare Payment Amount |
167593.65 |
Total Medicare Standardized Payment Amount |
165589.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
11869 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
36769.71 |
Total Drug Medicare AllowedAmount |
2521.47 |
Total Drug Medicare PaymentAmount |
1942.86 |
Total Drug Medicare Standardized Payment Amount |
1942.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
188 |
Number Of Medical Services |
3904 |
Number Of Medicare Beneficiaries With Medical Services |
2928 |
Total Medical Submitted Charge Amount |
811382.69 |
Total Medical Medicare Allowed Amount |
223788.09 |
Total Medical Medicare Payment Amount |
165650.79 |
Total Medical Medicare Standardized Payment Amount |
163646.61 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
527 |
Number Of Beneficiaries Age 65 to 74 |
1275 |
Number Of Beneficiaries Age 75 to 84 |
825 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
1671 |
Number Of Male Beneficiaries |
1257 |
Number Of Non Hispanic White Beneficiaries |
2172 |
Number Of Black or African American Beneficiaries |
306 |
Number Of AsianPacific Islander Beneficiaries |
146 |
Number Of Hispanic Beneficiaries |
238 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
657 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
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 |
1.6582 |