| National Provider Identifier [NPI]: | 1063448488 |
| Last Name Of The Provider | GUMMADI |
| First Name Of The Provider | SIVA |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2105 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 | 91 |
| Number Of Services | 13162 |
| Number Of Medicare Beneficiaries | 3809 |
| Total Submitted Charge Amount | 7293957.85 |
| Total Medicare Allowed Amount | 3285893.41 |
| Total Medicare Payment Amount | 2529015 |
| Total Medicare Standardized Payment Amount | 2646613.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 1064 |
| Number Of Medicare Beneficiaries With Drug Services | 276 |
| Total Drug Submitted ChargeAmount | 69944.87 |
| Total Drug Medicare AllowedAmount | 35214.03 |
| Total Drug Medicare PaymentAmount | 27331.53 |
| Total Drug Medicare Standardized Payment Amount | 27331.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 86 |
| Number Of Medical Services | 12098 |
| Number Of Medicare Beneficiaries With Medical Services | 3809 |
| Total Medical Submitted Charge Amount | 7224012.98 |
| Total Medical Medicare Allowed Amount | 3250679.38 |
| Total Medical Medicare Payment Amount | 2501683.47 |
| Total Medical Medicare Standardized Payment Amount | 2619281.86 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 317 |
| Number Of Beneficiaries Age 65 to 74 | 1562 |
| Number Of Beneficiaries Age 75 to 84 | 1418 |
| Number Of Beneficiaries Age Greater 84 | 512 |
| Number Of Female Beneficiaries | 1897 |
| Number Of Male Beneficiaries | 1912 |
| Number Of Non Hispanic White Beneficiaries | 3310 |
| Number Of Black or African American Beneficiaries | 323 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 95 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 41 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3264 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 545 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4233 |