National Provider Identifier [NPI]: |
1073554465 |
Last Name Of The Provider |
RAWAL |
First Name Of The Provider |
ASEEM |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
6134 |
Number Of Medicare Beneficiaries |
2905 |
Total Submitted Charge Amount |
977352.52 |
Total Medicare Allowed Amount |
262370.02 |
Total Medicare Payment Amount |
205127.89 |
Total Medicare Standardized Payment Amount |
186783.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1352 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
714.38 |
Total Drug Medicare AllowedAmount |
691.68 |
Total Drug Medicare PaymentAmount |
542.3 |
Total Drug Medicare Standardized Payment Amount |
542.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
4782 |
Number Of Medicare Beneficiaries With Medical Services |
2905 |
Total Medical Submitted Charge Amount |
976638.14 |
Total Medical Medicare Allowed Amount |
261678.34 |
Total Medical Medicare Payment Amount |
204585.59 |
Total Medical Medicare Standardized Payment Amount |
186241.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
466 |
Number Of Beneficiaries Age 65 to 74 |
1232 |
Number Of Beneficiaries Age 75 to 84 |
859 |
Number Of Beneficiaries Age Greater 84 |
348 |
Number Of Female Beneficiaries |
1898 |
Number Of Male Beneficiaries |
1007 |
Number Of Non Hispanic White Beneficiaries |
1830 |
Number Of Black or African American Beneficiaries |
427 |
Number Of AsianPacific Islander Beneficiaries |
259 |
Number Of Hispanic Beneficiaries |
313 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
580 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2759 |