National Provider Identifier [NPI]: |
1861655060 |
Last Name Of The Provider |
SRIRAMINENI |
First Name Of The Provider |
GOVIND |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1223 GATEWAY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELBOURNE |
Zip Code Of The Provider |
329012607 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
15721 |
Number Of Medicare Beneficiaries |
1033 |
Total Submitted Charge Amount |
1266763.06 |
Total Medicare Allowed Amount |
624840.64 |
Total Medicare Payment Amount |
488457.05 |
Total Medicare Standardized Payment Amount |
489348.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
369 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
14963 |
Total Drug Medicare AllowedAmount |
8068.98 |
Total Drug Medicare PaymentAmount |
7794.27 |
Total Drug Medicare Standardized Payment Amount |
7794.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
15352 |
Number Of Medicare Beneficiaries With Medical Services |
1032 |
Total Medical Submitted Charge Amount |
1251800.06 |
Total Medical Medicare Allowed Amount |
616771.66 |
Total Medical Medicare Payment Amount |
480662.78 |
Total Medical Medicare Standardized Payment Amount |
481554.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
323 |
Number Of Beneficiaries Age 75 to 84 |
360 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
476 |
Number Of Non Hispanic White Beneficiaries |
941 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
864 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9297 |