National Provider Identifier [NPI]: |
1679549059 |
Last Name Of The Provider |
ARAJ |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7000 SPYGLASS CT |
Street Address 2 Of The Provider |
SUITE 260 |
City Of The Provider |
VIERA |
Zip Code Of The Provider |
329408288 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
17999 |
Number Of Medicare Beneficiaries |
2012 |
Total Submitted Charge Amount |
1412297.84 |
Total Medicare Allowed Amount |
393541.41 |
Total Medicare Payment Amount |
324081.54 |
Total Medicare Standardized Payment Amount |
334566.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14140 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
17714.84 |
Total Drug Medicare AllowedAmount |
5583.65 |
Total Drug Medicare PaymentAmount |
4361.72 |
Total Drug Medicare Standardized Payment Amount |
4361.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
3859 |
Number Of Medicare Beneficiaries With Medical Services |
2012 |
Total Medical Submitted Charge Amount |
1394583 |
Total Medical Medicare Allowed Amount |
387957.76 |
Total Medical Medicare Payment Amount |
319719.82 |
Total Medical Medicare Standardized Payment Amount |
330205.23 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
984 |
Number Of Beneficiaries Age 75 to 84 |
669 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
1546 |
Number Of Male Beneficiaries |
466 |
Number Of Non Hispanic White Beneficiaries |
1775 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
1914 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0274 |