National Provider Identifier [NPI]: |
1689677049 |
Last Name Of The Provider |
RAMAKRISHNA |
First Name Of The Provider |
KALPANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12700 PARK CENTRAL DR |
Street Address 2 Of The Provider |
STE 430 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752511527 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
3218 |
Number Of Medicare Beneficiaries |
2208 |
Total Submitted Charge Amount |
294256 |
Total Medicare Allowed Amount |
87878.13 |
Total Medicare Payment Amount |
66591.97 |
Total Medicare Standardized Payment Amount |
67547.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
3218 |
Number Of Medicare Beneficiaries With Medical Services |
2208 |
Total Medical Submitted Charge Amount |
294256 |
Total Medical Medicare Allowed Amount |
87878.13 |
Total Medical Medicare Payment Amount |
66591.97 |
Total Medical Medicare Standardized Payment Amount |
67547.15 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
392 |
Number Of Beneficiaries Age 65 to 74 |
840 |
Number Of Beneficiaries Age 75 to 84 |
621 |
Number Of Beneficiaries Age Greater 84 |
355 |
Number Of Female Beneficiaries |
1237 |
Number Of Male Beneficiaries |
971 |
Number Of Non Hispanic White Beneficiaries |
1626 |
Number Of Black or African American Beneficiaries |
331 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1700 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
508 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1533 |