National Provider Identifier [NPI]: |
1487626412 |
Last Name Of The Provider |
YADLAPALLI |
First Name Of The Provider |
SANJAY |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 MEDICAL PLAZA DR |
Street Address 2 Of The Provider |
SUITE #175 |
City Of The Provider |
ROSEVILLE |
Zip Code Of The Provider |
956613049 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
7378 |
Number Of Medicare Beneficiaries |
1258 |
Total Submitted Charge Amount |
1334020 |
Total Medicare Allowed Amount |
661583.66 |
Total Medicare Payment Amount |
491896.06 |
Total Medicare Standardized Payment Amount |
475391.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
394 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
50300 |
Total Drug Medicare AllowedAmount |
20574.06 |
Total Drug Medicare PaymentAmount |
16129.91 |
Total Drug Medicare Standardized Payment Amount |
16129.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6984 |
Number Of Medicare Beneficiaries With Medical Services |
1258 |
Total Medical Submitted Charge Amount |
1283720 |
Total Medical Medicare Allowed Amount |
641009.6 |
Total Medical Medicare Payment Amount |
475766.15 |
Total Medical Medicare Standardized Payment Amount |
459261.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
393 |
Number Of Beneficiaries Age 75 to 84 |
502 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
597 |
Number Of Male Beneficiaries |
661 |
Number Of Non Hispanic White Beneficiaries |
1098 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1097 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5341 |