National Provider Identifier [NPI]: |
1255438792 |
Last Name Of The Provider |
TALLAPRAGADA |
First Name Of The Provider |
SUDHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1425 S OSPREY AVE |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
34239 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
296314 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
1222197.5 |
Total Medicare Allowed Amount |
521119.2 |
Total Medicare Payment Amount |
406402.32 |
Total Medicare Standardized Payment Amount |
407889.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
292503 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
432959.5 |
Total Drug Medicare AllowedAmount |
226533.18 |
Total Drug Medicare PaymentAmount |
177539 |
Total Drug Medicare Standardized Payment Amount |
177539 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3811 |
Number Of Medicare Beneficiaries With Medical Services |
1024 |
Total Medical Submitted Charge Amount |
789238 |
Total Medical Medicare Allowed Amount |
294586.02 |
Total Medical Medicare Payment Amount |
228863.32 |
Total Medical Medicare Standardized Payment Amount |
230350.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
548 |
Number Of Non Hispanic White Beneficiaries |
923 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
266 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.5622 |