National Provider Identifier [NPI]: |
1154565745 |
Last Name Of The Provider |
RAZDAN |
First Name Of The Provider |
RAHUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7601 PIONEERS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
68506 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
188 |
Number Of Services |
2278 |
Number Of Medicare Beneficiaries |
1248 |
Total Submitted Charge Amount |
978496.81 |
Total Medicare Allowed Amount |
265349.88 |
Total Medicare Payment Amount |
204846.95 |
Total Medicare Standardized Payment Amount |
225582.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
270 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
505.2 |
Total Drug Medicare AllowedAmount |
108.43 |
Total Drug Medicare PaymentAmount |
82.55 |
Total Drug Medicare Standardized Payment Amount |
82.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
184 |
Number Of Medical Services |
2008 |
Number Of Medicare Beneficiaries With Medical Services |
1248 |
Total Medical Submitted Charge Amount |
977991.61 |
Total Medical Medicare Allowed Amount |
265241.45 |
Total Medical Medicare Payment Amount |
204764.4 |
Total Medical Medicare Standardized Payment Amount |
225499.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
347 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
748 |
Number Of Male Beneficiaries |
500 |
Number Of Non Hispanic White Beneficiaries |
1186 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1016 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5875 |