National Provider Identifier [NPI]: |
1760559785 |
Last Name Of The Provider |
YELAMANCHI |
First Name Of The Provider |
NALINI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 LAUREL MANOR DR |
Street Address 2 Of The Provider |
SUITE 172 |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321625603 |
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 |
26 |
Number Of Services |
4371 |
Number Of Medicare Beneficiaries |
947 |
Total Submitted Charge Amount |
486588.55 |
Total Medicare Allowed Amount |
322912.34 |
Total Medicare Payment Amount |
229187.42 |
Total Medicare Standardized Payment Amount |
230338.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
8350 |
Total Drug Medicare AllowedAmount |
2556.4 |
Total Drug Medicare PaymentAmount |
2504.95 |
Total Drug Medicare Standardized Payment Amount |
2504.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4204 |
Number Of Medicare Beneficiaries With Medical Services |
947 |
Total Medical Submitted Charge Amount |
478238.55 |
Total Medical Medicare Allowed Amount |
320355.94 |
Total Medical Medicare Payment Amount |
226682.47 |
Total Medical Medicare Standardized Payment Amount |
227833.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
599 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
668 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
913 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9748 |