National Provider Identifier [NPI]: |
1497719306 |
Last Name Of The Provider |
RAMACHANDRUNI |
First Name Of The Provider |
SRIKANTH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1029 FLORIDA AVE S |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKLEDGE |
Zip Code Of The Provider |
329552160 |
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 |
72 |
Number Of Services |
3944 |
Number Of Medicare Beneficiaries |
677 |
Total Submitted Charge Amount |
556788 |
Total Medicare Allowed Amount |
355923.33 |
Total Medicare Payment Amount |
275248.54 |
Total Medicare Standardized Payment Amount |
275478.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
1830 |
Total Drug Medicare AllowedAmount |
554.69 |
Total Drug Medicare PaymentAmount |
442.98 |
Total Drug Medicare Standardized Payment Amount |
442.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
3696 |
Number Of Medicare Beneficiaries With Medical Services |
677 |
Total Medical Submitted Charge Amount |
554958 |
Total Medical Medicare Allowed Amount |
355368.64 |
Total Medical Medicare Payment Amount |
274805.56 |
Total Medical Medicare Standardized Payment Amount |
275035.77 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
359 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
505 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
322 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.688 |