| National Provider Identifier [NPI]: | 1851338727 |
| Last Name Of The Provider | KANUKUNTA |
| First Name Of The Provider | JEEVITH |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 350 COUNTRY CLUB DR |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | STOCKBRIDGE |
| Zip Code Of The Provider | 302819084 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 81 |
| Number Of Services | 11804 |
| Number Of Medicare Beneficiaries | 3828 |
| Total Submitted Charge Amount | 2644051.91 |
| Total Medicare Allowed Amount | 954358.23 |
| Total Medicare Payment Amount | 716522.84 |
| Total Medicare Standardized Payment Amount | 732006.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 978 |
| Number Of Medicare Beneficiaries With Drug Services | 198 |
| Total Drug Submitted ChargeAmount | 104585 |
| Total Drug Medicare AllowedAmount | 34967.21 |
| Total Drug Medicare PaymentAmount | 26965.29 |
| Total Drug Medicare Standardized Payment Amount | 26965.29 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 77 |
| Number Of Medical Services | 10826 |
| Number Of Medicare Beneficiaries With Medical Services | 3828 |
| Total Medical Submitted Charge Amount | 2539466.91 |
| Total Medical Medicare Allowed Amount | 919391.02 |
| Total Medical Medicare Payment Amount | 689557.55 |
| Total Medical Medicare Standardized Payment Amount | 705041.45 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 804 |
| Number Of Beneficiaries Age 65 to 74 | 1494 |
| Number Of Beneficiaries Age 75 to 84 | 1033 |
| Number Of Beneficiaries Age Greater 84 | 497 |
| Number Of Female Beneficiaries | 2130 |
| Number Of Male Beneficiaries | 1698 |
| Number Of Non Hispanic White Beneficiaries | 2575 |
| Number Of Black or African American Beneficiaries | 1127 |
| Number Of AsianPacific Islander Beneficiaries | 45 |
| Number Of Hispanic Beneficiaries | 55 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2841 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 987 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.8495 |