| National Provider Identifier [NPI]: | 1164490074 |
| Last Name Of The Provider | MANOHARAN |
| First Name Of The Provider | PAULRAJAN |
| 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 | 500 E RIDGE RD |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | MCALLEN |
| Zip Code Of The Provider | 785031506 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 66 |
| Number Of Services | 7010 |
| Number Of Medicare Beneficiaries | 2816 |
| Total Submitted Charge Amount | 1850325.14 |
| Total Medicare Allowed Amount | 551635.18 |
| Total Medicare Payment Amount | 423677.57 |
| Total Medicare Standardized Payment Amount | 435997.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 729 |
| Number Of Medicare Beneficiaries With Drug Services | 162 |
| Total Drug Submitted ChargeAmount | 54900 |
| Total Drug Medicare AllowedAmount | 7067.06 |
| Total Drug Medicare PaymentAmount | 5501.31 |
| Total Drug Medicare Standardized Payment Amount | 5501.31 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 64 |
| Number Of Medical Services | 6281 |
| Number Of Medicare Beneficiaries With Medical Services | 2816 |
| Total Medical Submitted Charge Amount | 1795425.14 |
| Total Medical Medicare Allowed Amount | 544568.12 |
| Total Medical Medicare Payment Amount | 418176.26 |
| Total Medical Medicare Standardized Payment Amount | 430495.97 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 590 |
| Number Of Beneficiaries Age 65 to 74 | 921 |
| Number Of Beneficiaries Age 75 to 84 | 805 |
| Number Of Beneficiaries Age Greater 84 | 500 |
| Number Of Female Beneficiaries | 1576 |
| Number Of Male Beneficiaries | 1240 |
| Number Of Non Hispanic White Beneficiaries | 466 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 2323 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 872 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1944 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 35 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 35 |
| Percent Of With Diabetes | 67 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 73 |
| Percent Of With Osteoporosis | 21 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 2.5928 |