National Provider Identifier [NPI]: |
1457553224 |
Last Name Of The Provider |
VALLURUPALLI |
First Name Of The Provider |
AVINASH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 WEST CANNON ST |
Street Address 2 Of The Provider |
TARRANT NEPHROLOGY ASSOCIATES |
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761043029 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
8375 |
Number Of Medicare Beneficiaries |
1094 |
Total Submitted Charge Amount |
9103606 |
Total Medicare Allowed Amount |
1792640 |
Total Medicare Payment Amount |
1396649.83 |
Total Medicare Standardized Payment Amount |
1366389.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2836 |
Number Of Medicare Beneficiaries With Drug Services |
423 |
Total Drug Submitted ChargeAmount |
207430 |
Total Drug Medicare AllowedAmount |
12422.45 |
Total Drug Medicare PaymentAmount |
9427.89 |
Total Drug Medicare Standardized Payment Amount |
9427.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
5539 |
Number Of Medicare Beneficiaries With Medical Services |
1093 |
Total Medical Submitted Charge Amount |
8896176 |
Total Medical Medicare Allowed Amount |
1780217.55 |
Total Medical Medicare Payment Amount |
1387221.94 |
Total Medical Medicare Standardized Payment Amount |
1356961.8 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
484 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
560 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
371 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
244 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
505 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
5.9953 |