National Provider Identifier [NPI]: |
1174528178 |
Last Name Of The Provider |
AMBATI |
First Name Of The Provider |
NARAYANA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7014 N WHITNEY AVE |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937200155 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
23139.5 |
Number Of Medicare Beneficiaries |
1264 |
Total Submitted Charge Amount |
1544020 |
Total Medicare Allowed Amount |
666031.98 |
Total Medicare Payment Amount |
502954.87 |
Total Medicare Standardized Payment Amount |
491058.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
10516.5 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
336056.5 |
Total Drug Medicare AllowedAmount |
133973.2 |
Total Drug Medicare PaymentAmount |
102791.48 |
Total Drug Medicare Standardized Payment Amount |
102791.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
12623 |
Number Of Medicare Beneficiaries With Medical Services |
1264 |
Total Medical Submitted Charge Amount |
1207963.5 |
Total Medical Medicare Allowed Amount |
532058.78 |
Total Medical Medicare Payment Amount |
400163.39 |
Total Medical Medicare Standardized Payment Amount |
388266.78 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
491 |
Number Of Beneficiaries Age 75 to 84 |
443 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
946 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
70 |
Number Of Hispanic Beneficiaries |
450 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
532 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3532 |