| National Provider Identifier [NPI]: | 1417927054 |
| Last Name Of The Provider | RAO |
| First Name Of The Provider | RAVI |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7130 N MILLBROOK AVE |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | FRESNO |
| Zip Code Of The Provider | 937203347 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 194 |
| Number Of Services | 411024 |
| Number Of Medicare Beneficiaries | 666 |
| Total Submitted Charge Amount | 12744291.41 |
| Total Medicare Allowed Amount | 5694266.55 |
| Total Medicare Payment Amount | 4475563.13 |
| Total Medicare Standardized Payment Amount | 4441981.03 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 85 |
| Number Of Drug Services | 382028 |
| Number Of Medicare Beneficiaries With Drug Services | 299 |
| Total Drug Submitted ChargeAmount | 10555414.46 |
| Total Drug Medicare AllowedAmount | 4626118.23 |
| Total Drug Medicare PaymentAmount | 3623319.23 |
| Total Drug Medicare Standardized Payment Amount | 3623319.23 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 109 |
| Number Of Medical Services | 28996 |
| Number Of Medicare Beneficiaries With Medical Services | 666 |
| Total Medical Submitted Charge Amount | 2188876.95 |
| Total Medical Medicare Allowed Amount | 1068148.32 |
| Total Medical Medicare Payment Amount | 852243.9 |
| Total Medical Medicare Standardized Payment Amount | 818661.8 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 58 |
| Number Of Beneficiaries Age 65 to 74 | 279 |
| Number Of Beneficiaries Age 75 to 84 | 239 |
| Number Of Beneficiaries Age Greater 84 | 90 |
| Number Of Female Beneficiaries | 359 |
| Number Of Male Beneficiaries | 307 |
| Number Of Non Hispanic White Beneficiaries | 464 |
| Number Of Black or African American Beneficiaries | 31 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 117 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 518 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 148 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 40 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.8342 |