National Provider Identifier [NPI]: |
1902911837 |
Last Name Of The Provider |
KALAKOTA |
First Name Of The Provider |
MADHUSUDANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1920 NORTH CENTRAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347412373 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
4615 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
1001550 |
Total Medicare Allowed Amount |
385638.63 |
Total Medicare Payment Amount |
290162.32 |
Total Medicare Standardized Payment Amount |
292938.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
541 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
61405 |
Total Drug Medicare AllowedAmount |
25387.61 |
Total Drug Medicare PaymentAmount |
19608.52 |
Total Drug Medicare Standardized Payment Amount |
19608.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4074 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
940145 |
Total Medical Medicare Allowed Amount |
360251.02 |
Total Medical Medicare Payment Amount |
270553.8 |
Total Medical Medicare Standardized Payment Amount |
273329.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
426 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
312 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
320 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0105 |