National Provider Identifier [NPI]: |
1730144734 |
Last Name Of The Provider |
KADIMI |
First Name Of The Provider |
SRINATH |
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 |
1450 SCALP AVE |
Street Address 2 Of The Provider |
STE 2100 |
City Of The Provider |
JOHNSTOWN |
Zip Code Of The Provider |
159043321 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
15861 |
Number Of Medicare Beneficiaries |
720 |
Total Submitted Charge Amount |
406616 |
Total Medicare Allowed Amount |
276459.44 |
Total Medicare Payment Amount |
208684.46 |
Total Medicare Standardized Payment Amount |
199047.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
14293 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
112426 |
Total Drug Medicare AllowedAmount |
79154.46 |
Total Drug Medicare PaymentAmount |
61451.02 |
Total Drug Medicare Standardized Payment Amount |
61451.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1568 |
Number Of Medicare Beneficiaries With Medical Services |
720 |
Total Medical Submitted Charge Amount |
294190 |
Total Medical Medicare Allowed Amount |
197304.98 |
Total Medical Medicare Payment Amount |
147233.44 |
Total Medical Medicare Standardized Payment Amount |
137596.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
602 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.5552 |