National Provider Identifier [NPI]: |
1346441292 |
Last Name Of The Provider |
SUBRAMANIAN |
First Name Of The Provider |
NATARAJAN |
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 |
4620 N HABANA AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336147107 |
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 |
41 |
Number Of Services |
2516 |
Number Of Medicare Beneficiaries |
996 |
Total Submitted Charge Amount |
548150.6 |
Total Medicare Allowed Amount |
285121.94 |
Total Medicare Payment Amount |
218143.52 |
Total Medicare Standardized Payment Amount |
209377.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1980 |
Total Drug Medicare AllowedAmount |
950.25 |
Total Drug Medicare PaymentAmount |
931.22 |
Total Drug Medicare Standardized Payment Amount |
931.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2502 |
Number Of Medicare Beneficiaries With Medical Services |
996 |
Total Medical Submitted Charge Amount |
546170.6 |
Total Medical Medicare Allowed Amount |
284171.69 |
Total Medical Medicare Payment Amount |
217212.3 |
Total Medical Medicare Standardized Payment Amount |
208446.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
311 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
719 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3557 |