National Provider Identifier [NPI]: |
1609072347 |
Last Name Of The Provider |
NAIR |
First Name Of The Provider |
RAJESH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2115 S FREMONT AVE |
Street Address 2 Of The Provider |
SUITE 1000 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658042239 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
35631 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
1431321.15 |
Total Medicare Allowed Amount |
689846.42 |
Total Medicare Payment Amount |
531453.07 |
Total Medicare Standardized Payment Amount |
542279.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
42 |
Number Of Drug Services |
33172 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1039455.15 |
Total Drug Medicare AllowedAmount |
458916.33 |
Total Drug Medicare PaymentAmount |
359690.64 |
Total Drug Medicare Standardized Payment Amount |
359690.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2459 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
391866 |
Total Medical Medicare Allowed Amount |
230930.09 |
Total Medical Medicare Payment Amount |
171762.43 |
Total Medical Medicare Standardized Payment Amount |
182588.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
297 |
Number Of Male Beneficiaries |
231 |
Number Of Non Hispanic White Beneficiaries |
511 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
428 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9252 |