National Provider Identifier [NPI]: |
1346446804 |
Last Name Of The Provider |
SUBRAMANIAN |
First Name Of The Provider |
NATRAJAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4645 NW 8TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054524 |
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 |
120 |
Number Of Services |
6052 |
Number Of Medicare Beneficiaries |
1406 |
Total Submitted Charge Amount |
657105.84 |
Total Medicare Allowed Amount |
634265.9 |
Total Medicare Payment Amount |
482758 |
Total Medicare Standardized Payment Amount |
483334.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1068 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
12898.04 |
Total Drug Medicare AllowedAmount |
12262.3 |
Total Drug Medicare PaymentAmount |
9613.66 |
Total Drug Medicare Standardized Payment Amount |
9613.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
4984 |
Number Of Medicare Beneficiaries With Medical Services |
1406 |
Total Medical Submitted Charge Amount |
644207.8 |
Total Medical Medicare Allowed Amount |
622003.6 |
Total Medical Medicare Payment Amount |
473144.34 |
Total Medical Medicare Standardized Payment Amount |
473721.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
531 |
Number Of Beneficiaries Age 75 to 84 |
514 |
Number Of Beneficiaries Age Greater 84 |
226 |
Number Of Female Beneficiaries |
738 |
Number Of Male Beneficiaries |
668 |
Number Of Non Hispanic White Beneficiaries |
1218 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
294 |
Percent Of With Atrial Fibrillation |
45 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.716 |