Medicare Facts for Dr. Shyam M. Puppala, MD


National Provider Identifier [NPI]: 1043390099
Last Name Of The Provider PUPPALA
First Name Of The Provider SHYAM
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 4755 N KENMORE AVE
Street Address 2 Of The Provider
City Of The Provider CHICAGO
Zip Code Of The Provider 606405015
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Psychiatry
Medicare Participation Indicator Y
Number Of HCPCS 11
Number Of Services 2935
Number Of Medicare Beneficiaries 754
Total Submitted Charge Amount 366340
Total Medicare Allowed Amount 242019.25
Total Medicare Payment Amount 174364.48
Total Medicare Standardized Payment Amount 166213.22
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 11
Number Of Medical Services 2935
Number Of Medicare Beneficiaries With Medical Services 754
Total Medical Submitted Charge Amount 366340
Total Medical Medicare Allowed Amount 242019.25
Total Medical Medicare Payment Amount 174364.48
Total Medical Medicare Standardized Payment Amount 166213.22
Average Age Of Beneficiaries 59
Number Of Beneficiaries Age Less65 475
Number Of Beneficiaries Age 65 to 74 131
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 325
Number Of Male Beneficiaries 429
Number Of Non Hispanic White Beneficiaries 174
Number Of Black or African American Beneficiaries 517
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 51
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 36
Number Of Beneficiaries With Medicare Medicaid Entitlement 718
Percent Of With Atrial Fibrillation 4
Percent Of With Alzheimers Disease or Dementia 37
Percent Of With Asthma 19
Percent Of With Cancer 4
Percent Of With Heart Failure 26
Percent Of With Chronic Kidney Disease 27
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 69
Percent Of With Diabetes 60
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 49
Percent Of With Schizophrenia Other PsychoticDisorders 75
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 2.1274

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