| National Provider Identifier [NPI]: | 1205847522 |
| Last Name Of The Provider | POKALA |
| First Name Of The Provider | VIJAYA |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | M.D., F.A.C.C. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1023 N MOUND ST |
| Street Address 2 Of The Provider | SUITE K |
| City Of The Provider | NACOGDOCHES |
| Zip Code Of The Provider | 759614491 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 158 |
| Number Of Services | 16465 |
| Number Of Medicare Beneficiaries | 1301 |
| Total Submitted Charge Amount | 2396886 |
| Total Medicare Allowed Amount | 1615979.21 |
| Total Medicare Payment Amount | 1224807.58 |
| Total Medicare Standardized Payment Amount | 1319154.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 16 |
| Number Of Drug Services | 1889 |
| Number Of Medicare Beneficiaries With Drug Services | 574 |
| Total Drug Submitted ChargeAmount | 110355 |
| Total Drug Medicare AllowedAmount | 56646.68 |
| Total Drug Medicare PaymentAmount | 46543.87 |
| Total Drug Medicare Standardized Payment Amount | 46543.87 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 142 |
| Number Of Medical Services | 14576 |
| Number Of Medicare Beneficiaries With Medical Services | 1301 |
| Total Medical Submitted Charge Amount | 2286531 |
| Total Medical Medicare Allowed Amount | 1559332.53 |
| Total Medical Medicare Payment Amount | 1178263.71 |
| Total Medical Medicare Standardized Payment Amount | 1272610.78 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 245 |
| Number Of Beneficiaries Age 65 to 74 | 441 |
| Number Of Beneficiaries Age 75 to 84 | 403 |
| Number Of Beneficiaries Age Greater 84 | 212 |
| Number Of Female Beneficiaries | 677 |
| Number Of Male Beneficiaries | 624 |
| Number Of Non Hispanic White Beneficiaries | 976 |
| Number Of Black or African American Beneficiaries | 293 |
| 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 | 881 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 420 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.7026 |