National Provider Identifier [NPI]: |
1336358233 |
Last Name Of The Provider |
YARLAGADDA |
First Name Of The Provider |
RAJKUMAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 BELLEVUE MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
681231591 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
5268 |
Number Of Medicare Beneficiaries |
3276 |
Total Submitted Charge Amount |
603909 |
Total Medicare Allowed Amount |
164649.25 |
Total Medicare Payment Amount |
129291.93 |
Total Medicare Standardized Payment Amount |
138353.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
186 |
Number Of Medical Services |
5268 |
Number Of Medicare Beneficiaries With Medical Services |
3276 |
Total Medical Submitted Charge Amount |
603909 |
Total Medical Medicare Allowed Amount |
164649.25 |
Total Medical Medicare Payment Amount |
129291.93 |
Total Medical Medicare Standardized Payment Amount |
138353.41 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
476 |
Number Of Beneficiaries Age 65 to 74 |
1245 |
Number Of Beneficiaries Age 75 to 84 |
1005 |
Number Of Beneficiaries Age Greater 84 |
550 |
Number Of Female Beneficiaries |
2080 |
Number Of Male Beneficiaries |
1196 |
Number Of Non Hispanic White Beneficiaries |
3078 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
632 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2994 |