National Provider Identifier [NPI]: |
1598778664 |
Last Name Of The Provider |
KRISHNAGIRI |
First Name Of The Provider |
SARALA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2994 CHURCHLAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHESAPEAKE |
Zip Code Of The Provider |
233215643 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
7942 |
Number Of Medicare Beneficiaries |
476 |
Total Submitted Charge Amount |
348266 |
Total Medicare Allowed Amount |
202352.96 |
Total Medicare Payment Amount |
151886.56 |
Total Medicare Standardized Payment Amount |
154701.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
745 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
12620 |
Total Drug Medicare AllowedAmount |
11054.76 |
Total Drug Medicare PaymentAmount |
9330.28 |
Total Drug Medicare Standardized Payment Amount |
9330.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
7197 |
Number Of Medicare Beneficiaries With Medical Services |
476 |
Total Medical Submitted Charge Amount |
335646 |
Total Medical Medicare Allowed Amount |
191298.2 |
Total Medical Medicare Payment Amount |
142556.28 |
Total Medical Medicare Standardized Payment Amount |
145371.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
348 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0638 |