| National Provider Identifier [NPI]: | 1184605404 |
| Last Name Of The Provider | SAMBANDAM |
| First Name Of The Provider | ODAIYAPPA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D., FACC FCCP |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2400 HARBOR BLVD |
| Street Address 2 Of The Provider | SUITE 8 |
| City Of The Provider | PORT CHARLOTTE |
| Zip Code Of The Provider | 339525052 |
| 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 | 48 |
| Number Of Services | 4725 |
| Number Of Medicare Beneficiaries | 1543 |
| Total Submitted Charge Amount | 475257.1 |
| Total Medicare Allowed Amount | 227237.7 |
| Total Medicare Payment Amount | 169305.39 |
| Total Medicare Standardized Payment Amount | 173659.1 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 85 |
| Number Of Medicare Beneficiaries With Drug Services | 53 |
| Total Drug Submitted ChargeAmount | 5703.66 |
| Total Drug Medicare AllowedAmount | 2451.97 |
| Total Drug Medicare PaymentAmount | 2029.79 |
| Total Drug Medicare Standardized Payment Amount | 2029.79 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 45 |
| Number Of Medical Services | 4640 |
| Number Of Medicare Beneficiaries With Medical Services | 1543 |
| Total Medical Submitted Charge Amount | 469553.44 |
| Total Medical Medicare Allowed Amount | 224785.73 |
| Total Medical Medicare Payment Amount | 167275.6 |
| Total Medical Medicare Standardized Payment Amount | 171629.31 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 133 |
| Number Of Beneficiaries Age 65 to 74 | 498 |
| Number Of Beneficiaries Age 75 to 84 | 579 |
| Number Of Beneficiaries Age Greater 84 | 333 |
| Number Of Female Beneficiaries | 758 |
| Number Of Male Beneficiaries | 785 |
| Number Of Non Hispanic White Beneficiaries | 1380 |
| Number Of Black or African American Beneficiaries | 80 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 59 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 11 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1282 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 261 |
| Percent Of With Atrial Fibrillation | 36 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 54 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 47 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 2.0799 |