National Provider Identifier [NPI]: |
1245276096 |
Last Name Of The Provider |
JAGALUR |
First Name Of The Provider |
THUMATI |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
910 OLD CAMP RD |
Street Address 2 Of The Provider |
BUILDING # 150, SUITE # 154 |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321625604 |
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 |
59 |
Number Of Services |
4737 |
Number Of Medicare Beneficiaries |
921 |
Total Submitted Charge Amount |
322250.08 |
Total Medicare Allowed Amount |
246014.36 |
Total Medicare Payment Amount |
173179.99 |
Total Medicare Standardized Payment Amount |
177519.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
246 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
3890 |
Total Drug Medicare AllowedAmount |
2782.24 |
Total Drug Medicare PaymentAmount |
2574.37 |
Total Drug Medicare Standardized Payment Amount |
2574.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4491 |
Number Of Medicare Beneficiaries With Medical Services |
921 |
Total Medical Submitted Charge Amount |
318360.08 |
Total Medical Medicare Allowed Amount |
243232.12 |
Total Medical Medicare Payment Amount |
170605.62 |
Total Medical Medicare Standardized Payment Amount |
174945.04 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
877 |
Number Of Black or African American Beneficiaries |
16 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
908 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9872 |