National Provider Identifier [NPI]: |
1447224464 |
Last Name Of The Provider |
ANANTHAKRISHNAN |
First Name Of The Provider |
AKILA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
218 PASADENA AVE S |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAINT PETERSBURG |
Zip Code Of The Provider |
337071251 |
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 |
45 |
Number Of Services |
1110 |
Number Of Medicare Beneficiaries |
266 |
Total Submitted Charge Amount |
205774.24 |
Total Medicare Allowed Amount |
105721.01 |
Total Medicare Payment Amount |
78540.97 |
Total Medicare Standardized Payment Amount |
78345.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
1700 |
Total Drug Medicare AllowedAmount |
645.66 |
Total Drug Medicare PaymentAmount |
612.99 |
Total Drug Medicare Standardized Payment Amount |
612.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1073 |
Number Of Medicare Beneficiaries With Medical Services |
266 |
Total Medical Submitted Charge Amount |
204074.24 |
Total Medical Medicare Allowed Amount |
105075.35 |
Total Medical Medicare Payment Amount |
77927.98 |
Total Medical Medicare Standardized Payment Amount |
77732.38 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
60 |
Number Of Non Hispanic White Beneficiaries |
233 |
Number Of Black or African American Beneficiaries |
13 |
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 |
183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
46 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6583 |