National Provider Identifier [NPI]: |
1730110784 |
Last Name Of The Provider |
RAMASWAMY |
First Name Of The Provider |
VYJAYANTI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
140 BROOKWOOD RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
ORINDA |
Zip Code Of The Provider |
945633042 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
684 |
Number Of Medicare Beneficiaries |
273 |
Total Submitted Charge Amount |
101770 |
Total Medicare Allowed Amount |
56591.64 |
Total Medicare Payment Amount |
44500.84 |
Total Medicare Standardized Payment Amount |
39576.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
6497 |
Total Drug Medicare AllowedAmount |
4178.37 |
Total Drug Medicare PaymentAmount |
4094.66 |
Total Drug Medicare Standardized Payment Amount |
4094.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
604 |
Number Of Medicare Beneficiaries With Medical Services |
273 |
Total Medical Submitted Charge Amount |
95273 |
Total Medical Medicare Allowed Amount |
52413.27 |
Total Medical Medicare Payment Amount |
40406.18 |
Total Medical Medicare Standardized Payment Amount |
35481.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
87 |
Number Of Non Hispanic White Beneficiaries |
237 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
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 |
256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
13 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
38 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7439 |