National Provider Identifier [NPI]: |
1659486447 |
Last Name Of The Provider |
NAMBURI |
First Name Of The Provider |
SWATI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4708 ALLIANCE BLVD STE 300 |
Street Address 2 Of The Provider |
BAYLOR MEDICAL PLAZA 1 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750935339 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
5381 |
Number Of Medicare Beneficiaries |
516 |
Total Submitted Charge Amount |
340019.93 |
Total Medicare Allowed Amount |
159231.33 |
Total Medicare Payment Amount |
116926.39 |
Total Medicare Standardized Payment Amount |
125031.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2925 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
62483.5 |
Total Drug Medicare AllowedAmount |
14715.7 |
Total Drug Medicare PaymentAmount |
11872.18 |
Total Drug Medicare Standardized Payment Amount |
11872.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2456 |
Number Of Medicare Beneficiaries With Medical Services |
516 |
Total Medical Submitted Charge Amount |
277536.43 |
Total Medical Medicare Allowed Amount |
144515.63 |
Total Medical Medicare Payment Amount |
105054.21 |
Total Medical Medicare Standardized Payment Amount |
113159.1 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
18 |
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 |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.7936 |