National Provider Identifier [NPI]: |
1922082759 |
Last Name Of The Provider |
ELIGETI |
First Name Of The Provider |
RAMULU |
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 |
2111 SW 20TH PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344717734 |
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 |
55 |
Number Of Services |
5811 |
Number Of Medicare Beneficiaries |
1329 |
Total Submitted Charge Amount |
1332664.62 |
Total Medicare Allowed Amount |
678479.57 |
Total Medicare Payment Amount |
508005.72 |
Total Medicare Standardized Payment Amount |
517583.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
530 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
52641 |
Total Drug Medicare AllowedAmount |
26689.9 |
Total Drug Medicare PaymentAmount |
20758.3 |
Total Drug Medicare Standardized Payment Amount |
20758.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5281 |
Number Of Medicare Beneficiaries With Medical Services |
1329 |
Total Medical Submitted Charge Amount |
1280023.62 |
Total Medical Medicare Allowed Amount |
651789.67 |
Total Medical Medicare Payment Amount |
487247.42 |
Total Medical Medicare Standardized Payment Amount |
496824.99 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
389 |
Number Of Beneficiaries Age 75 to 84 |
548 |
Number Of Beneficiaries Age Greater 84 |
329 |
Number Of Female Beneficiaries |
704 |
Number Of Male Beneficiaries |
625 |
Number Of Non Hispanic White Beneficiaries |
1157 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6766 |