National Provider Identifier [NPI]: |
1033177340 |
Last Name Of The Provider |
MALLEMPATI |
First Name Of The Provider |
SRINIVAS |
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 |
52 MEDICAL PARK DR E |
Street Address 2 Of The Provider |
SUITE 115 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352353430 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
5264 |
Number Of Medicare Beneficiaries |
998 |
Total Submitted Charge Amount |
1107025 |
Total Medicare Allowed Amount |
406909.11 |
Total Medicare Payment Amount |
305627.16 |
Total Medicare Standardized Payment Amount |
334467.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
185 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
8155 |
Total Drug Medicare AllowedAmount |
4740.46 |
Total Drug Medicare PaymentAmount |
3617.15 |
Total Drug Medicare Standardized Payment Amount |
3617.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
5079 |
Number Of Medicare Beneficiaries With Medical Services |
998 |
Total Medical Submitted Charge Amount |
1098870 |
Total Medical Medicare Allowed Amount |
402168.65 |
Total Medical Medicare Payment Amount |
302010.01 |
Total Medical Medicare Standardized Payment Amount |
330850.45 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
295 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
668 |
Number Of Male Beneficiaries |
330 |
Number Of Non Hispanic White Beneficiaries |
873 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
882 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2805 |