National Provider Identifier [NPI]: |
1093731267 |
Last Name Of The Provider |
ALIGETI |
First Name Of The Provider |
VENKATA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
842 JEFFERSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381032808 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
7965 |
Number Of Medicare Beneficiaries |
1800 |
Total Submitted Charge Amount |
3644194.98 |
Total Medicare Allowed Amount |
1056731.67 |
Total Medicare Payment Amount |
792707.04 |
Total Medicare Standardized Payment Amount |
859020.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
382 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
27548.48 |
Total Drug Medicare AllowedAmount |
19701.66 |
Total Drug Medicare PaymentAmount |
15093.25 |
Total Drug Medicare Standardized Payment Amount |
15093.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
7583 |
Number Of Medicare Beneficiaries With Medical Services |
1800 |
Total Medical Submitted Charge Amount |
3616646.5 |
Total Medical Medicare Allowed Amount |
1037030.01 |
Total Medical Medicare Payment Amount |
777613.79 |
Total Medical Medicare Standardized Payment Amount |
843927.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
266 |
Number Of Beneficiaries Age 65 to 74 |
665 |
Number Of Beneficiaries Age 75 to 84 |
606 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
925 |
Number Of Male Beneficiaries |
875 |
Number Of Non Hispanic White Beneficiaries |
1540 |
Number Of Black or African American Beneficiaries |
173 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
44 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
521 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6681 |