National Provider Identifier [NPI]: |
1558399899 |
Last Name Of The Provider |
IYER |
First Name Of The Provider |
UMA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
289 SW STONEGATE TER |
Street Address 2 Of The Provider |
SUITE #103 |
City Of The Provider |
LAKE CITY |
Zip Code Of The Provider |
320243456 |
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 |
121 |
Number Of Services |
166044 |
Number Of Medicare Beneficiaries |
673 |
Total Submitted Charge Amount |
10288042.96 |
Total Medicare Allowed Amount |
1995323.57 |
Total Medicare Payment Amount |
1555847.16 |
Total Medicare Standardized Payment Amount |
1550667.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
66 |
Number Of Drug Services |
148628 |
Number Of Medicare Beneficiaries With Drug Services |
249 |
Total Drug Submitted ChargeAmount |
8023245.17 |
Total Drug Medicare AllowedAmount |
1534275.08 |
Total Drug Medicare PaymentAmount |
1198568.44 |
Total Drug Medicare Standardized Payment Amount |
1198568.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
17416 |
Number Of Medicare Beneficiaries With Medical Services |
673 |
Total Medical Submitted Charge Amount |
2264797.79 |
Total Medical Medicare Allowed Amount |
461048.49 |
Total Medical Medicare Payment Amount |
357278.72 |
Total Medical Medicare Standardized Payment Amount |
352099.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
555 |
Number Of Black or African American Beneficiaries |
97 |
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 |
559 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6794 |