National Provider Identifier [NPI]: |
1366435927 |
Last Name Of The Provider |
AKULA |
First Name Of The Provider |
GEETHANJALI |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
70 W GORE ST STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328061124 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
138557 |
Number Of Medicare Beneficiaries |
648 |
Total Submitted Charge Amount |
4406755 |
Total Medicare Allowed Amount |
1876363.24 |
Total Medicare Payment Amount |
1477004.45 |
Total Medicare Standardized Payment Amount |
1469743.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
125088 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
3197552 |
Total Drug Medicare AllowedAmount |
1402946.13 |
Total Drug Medicare PaymentAmount |
1099116.73 |
Total Drug Medicare Standardized Payment Amount |
1099116.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
13469 |
Number Of Medicare Beneficiaries With Medical Services |
648 |
Total Medical Submitted Charge Amount |
1209203 |
Total Medical Medicare Allowed Amount |
473417.11 |
Total Medical Medicare Payment Amount |
377887.72 |
Total Medical Medicare Standardized Payment Amount |
370626.47 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
163 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
399 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
364 |
Number Of Black or African American Beneficiaries |
151 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
400 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.3298 |