National Provider Identifier [NPI]: |
1467544312 |
Last Name Of The Provider |
RAJAGOPAL |
First Name Of The Provider |
CHITRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9715 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
#221 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
20850 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
305210 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
5868568.05 |
Total Medicare Allowed Amount |
3506093.92 |
Total Medicare Payment Amount |
2730783.91 |
Total Medicare Standardized Payment Amount |
2637020.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
289242 |
Number Of Medicare Beneficiaries With Drug Services |
318 |
Total Drug Submitted ChargeAmount |
4651800.05 |
Total Drug Medicare AllowedAmount |
2760152.32 |
Total Drug Medicare PaymentAmount |
2156695.48 |
Total Drug Medicare Standardized Payment Amount |
2156695.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
15968 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
1216768 |
Total Medical Medicare Allowed Amount |
745941.6 |
Total Medical Medicare Payment Amount |
574088.43 |
Total Medical Medicare Standardized Payment Amount |
480324.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
747 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
658 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
138 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
783 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
209 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7431 |