| National Provider Identifier [NPI]: | 1144263831 |
| Last Name Of The Provider | MUKKAMALA |
| First Name Of The Provider | APPARAO |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | HURLEY MEDICAL CENTER |
| Street Address 2 Of The Provider | ONE HURLEY PLAZA, RADIOLOGY DEPT |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 48503 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 169 |
| Number Of Services | 22003 |
| Number Of Medicare Beneficiaries | 3477 |
| Total Submitted Charge Amount | 612406 |
| Total Medicare Allowed Amount | 261320.52 |
| Total Medicare Payment Amount | 204971.34 |
| Total Medicare Standardized Payment Amount | 219356.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 16141 |
| Number Of Medicare Beneficiaries With Drug Services | 146 |
| Total Drug Submitted ChargeAmount | 32498 |
| Total Drug Medicare AllowedAmount | 2986.08 |
| Total Drug Medicare PaymentAmount | 2311.85 |
| Total Drug Medicare Standardized Payment Amount | 2311.85 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 167 |
| Number Of Medical Services | 5862 |
| Number Of Medicare Beneficiaries With Medical Services | 3477 |
| Total Medical Submitted Charge Amount | 579908 |
| Total Medical Medicare Allowed Amount | 258334.44 |
| Total Medical Medicare Payment Amount | 202659.49 |
| Total Medical Medicare Standardized Payment Amount | 217044.3 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1016 |
| Number Of Beneficiaries Age 65 to 74 | 1232 |
| Number Of Beneficiaries Age 75 to 84 | 859 |
| Number Of Beneficiaries Age Greater 84 | 370 |
| Number Of Female Beneficiaries | 2224 |
| Number Of Male Beneficiaries | 1253 |
| Number Of Non Hispanic White Beneficiaries | 2636 |
| Number Of Black or African American Beneficiaries | 742 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 51 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2304 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1173 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7016 |