National Provider Identifier [NPI]: |
1114954476 |
Last Name Of The Provider |
SIVASEKARAN |
First Name Of The Provider |
RATNASABAPATHY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2845 SE 3RD COURT |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
34471 |
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 |
94 |
Number Of Services |
27831 |
Number Of Medicare Beneficiaries |
1624 |
Total Submitted Charge Amount |
2185308.44 |
Total Medicare Allowed Amount |
1628041.4 |
Total Medicare Payment Amount |
1295915.89 |
Total Medicare Standardized Payment Amount |
1227928.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
457 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
11429 |
Total Drug Medicare AllowedAmount |
3622.95 |
Total Drug Medicare PaymentAmount |
3364.67 |
Total Drug Medicare Standardized Payment Amount |
3364.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
27374 |
Number Of Medicare Beneficiaries With Medical Services |
1624 |
Total Medical Submitted Charge Amount |
2173879.44 |
Total Medical Medicare Allowed Amount |
1624418.45 |
Total Medical Medicare Payment Amount |
1292551.22 |
Total Medical Medicare Standardized Payment Amount |
1224563.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
288 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
488 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
939 |
Number Of Male Beneficiaries |
685 |
Number Of Non Hispanic White Beneficiaries |
1330 |
Number Of Black or African American Beneficiaries |
210 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1084 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
540 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.324 |