National Provider Identifier [NPI]: |
1972549061 |
Last Name Of The Provider |
KALAPATAPU |
First Name Of The Provider |
VISWANATH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1331 W. GRAND PARKWAY NORTH |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
KATY |
Zip Code Of The Provider |
774932711 |
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 |
50 |
Number Of Services |
2747 |
Number Of Medicare Beneficiaries |
658 |
Total Submitted Charge Amount |
340427 |
Total Medicare Allowed Amount |
234698.03 |
Total Medicare Payment Amount |
172057.09 |
Total Medicare Standardized Payment Amount |
171446.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
4675 |
Total Drug Medicare AllowedAmount |
2099.33 |
Total Drug Medicare PaymentAmount |
2049.63 |
Total Drug Medicare Standardized Payment Amount |
2049.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2633 |
Number Of Medicare Beneficiaries With Medical Services |
658 |
Total Medical Submitted Charge Amount |
335752 |
Total Medical Medicare Allowed Amount |
232598.7 |
Total Medical Medicare Payment Amount |
170007.46 |
Total Medical Medicare Standardized Payment Amount |
169397.11 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
557 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6262 |