National Provider Identifier [NPI]: |
1336108729 |
Last Name Of The Provider |
KEDAR |
First Name Of The Provider |
RAJENDRA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 UNIVERSITY SQUARE DRIVE |
Street Address 2 Of The Provider |
RADIOLOGY ASSOCIATES OF TAMPA |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336125513 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
195 |
Number Of Services |
13207 |
Number Of Medicare Beneficiaries |
4675 |
Total Submitted Charge Amount |
1670653.2 |
Total Medicare Allowed Amount |
471760.58 |
Total Medicare Payment Amount |
359433.59 |
Total Medicare Standardized Payment Amount |
369261.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5910 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
11642.2 |
Total Drug Medicare AllowedAmount |
4582.82 |
Total Drug Medicare PaymentAmount |
3382.25 |
Total Drug Medicare Standardized Payment Amount |
3382.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
190 |
Number Of Medical Services |
7297 |
Number Of Medicare Beneficiaries With Medical Services |
4675 |
Total Medical Submitted Charge Amount |
1659011 |
Total Medical Medicare Allowed Amount |
467177.76 |
Total Medical Medicare Payment Amount |
356051.34 |
Total Medical Medicare Standardized Payment Amount |
365879.04 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1162 |
Number Of Beneficiaries Age 65 to 74 |
1857 |
Number Of Beneficiaries Age 75 to 84 |
1187 |
Number Of Beneficiaries Age Greater 84 |
469 |
Number Of Female Beneficiaries |
2737 |
Number Of Male Beneficiaries |
1938 |
Number Of Non Hispanic White Beneficiaries |
3400 |
Number Of Black or African American Beneficiaries |
625 |
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
493 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1351 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1736 |