National Provider Identifier [NPI]: |
1326005562 |
Last Name Of The Provider |
SUNDARAM |
First Name Of The Provider |
MURALI |
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 |
9500 EUCLID AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441950001 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
6259 |
Number Of Medicare Beneficiaries |
4497 |
Total Submitted Charge Amount |
558277 |
Total Medicare Allowed Amount |
81404.62 |
Total Medicare Payment Amount |
59001.48 |
Total Medicare Standardized Payment Amount |
66349.98 |
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 |
75 |
Number Of Medical Services |
6259 |
Number Of Medicare Beneficiaries With Medical Services |
4497 |
Total Medical Submitted Charge Amount |
558277 |
Total Medical Medicare Allowed Amount |
81404.62 |
Total Medical Medicare Payment Amount |
59001.48 |
Total Medical Medicare Standardized Payment Amount |
66349.98 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
624 |
Number Of Beneficiaries Age 65 to 74 |
2230 |
Number Of Beneficiaries Age 75 to 84 |
1220 |
Number Of Beneficiaries Age Greater 84 |
423 |
Number Of Female Beneficiaries |
2945 |
Number Of Male Beneficiaries |
1552 |
Number Of Non Hispanic White Beneficiaries |
3811 |
Number Of Black or African American Beneficiaries |
473 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
3828 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
669 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1677 |