National Provider Identifier [NPI]: |
1366438822 |
Last Name Of The Provider |
RASTOGI |
First Name Of The Provider |
RITU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1941 LIMESTONE RD |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198085408 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
4127 |
Number Of Medicare Beneficiaries |
997 |
Total Submitted Charge Amount |
629554 |
Total Medicare Allowed Amount |
442934.22 |
Total Medicare Payment Amount |
332867.11 |
Total Medicare Standardized Payment Amount |
328249.17 |
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 |
14 |
Number Of Medical Services |
4127 |
Number Of Medicare Beneficiaries With Medical Services |
997 |
Total Medical Submitted Charge Amount |
629554 |
Total Medical Medicare Allowed Amount |
442934.22 |
Total Medical Medicare Payment Amount |
332867.11 |
Total Medical Medicare Standardized Payment Amount |
328249.17 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
322 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
227 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
592 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
405 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
55 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.4411 |