National Provider Identifier [NPI]: |
1518084011 |
Last Name Of The Provider |
VARAPRASATHAN |
First Name Of The Provider |
GITA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 W CALIFORNIA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053010 |
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 |
141 |
Number Of Services |
17728 |
Number Of Medicare Beneficiaries |
4070 |
Total Submitted Charge Amount |
1476197.36 |
Total Medicare Allowed Amount |
515894.75 |
Total Medicare Payment Amount |
435579.06 |
Total Medicare Standardized Payment Amount |
390427.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
10314 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
18793.4 |
Total Drug Medicare AllowedAmount |
2605.24 |
Total Drug Medicare PaymentAmount |
2034.46 |
Total Drug Medicare Standardized Payment Amount |
2034.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
7414 |
Number Of Medicare Beneficiaries With Medical Services |
4070 |
Total Medical Submitted Charge Amount |
1457403.96 |
Total Medical Medicare Allowed Amount |
513289.51 |
Total Medical Medicare Payment Amount |
433544.6 |
Total Medical Medicare Standardized Payment Amount |
388392.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
406 |
Number Of Beneficiaries Age 65 to 74 |
1688 |
Number Of Beneficiaries Age 75 to 84 |
1267 |
Number Of Beneficiaries Age Greater 84 |
709 |
Number Of Female Beneficiaries |
3024 |
Number Of Male Beneficiaries |
1046 |
Number Of Non Hispanic White Beneficiaries |
2479 |
Number Of Black or African American Beneficiaries |
367 |
Number Of AsianPacific Islander Beneficiaries |
449 |
Number Of Hispanic Beneficiaries |
644 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2907 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1163 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6341 |