National Provider Identifier [NPI]: |
1932197886 |
Last Name Of The Provider |
KOMPELLI |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2751 ALBERT BICKNELL DRIVE |
Street Address 2 Of The Provider |
SUITE 2-C |
City Of The Provider |
SHREVEPORT |
Zip Code Of The Provider |
71103 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
10664 |
Number Of Medicare Beneficiaries |
1111 |
Total Submitted Charge Amount |
1081575 |
Total Medicare Allowed Amount |
842996.68 |
Total Medicare Payment Amount |
642820.43 |
Total Medicare Standardized Payment Amount |
636727.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
12766 |
Total Drug Medicare AllowedAmount |
3627.02 |
Total Drug Medicare PaymentAmount |
3264.32 |
Total Drug Medicare Standardized Payment Amount |
3264.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
10337 |
Number Of Medicare Beneficiaries With Medical Services |
1111 |
Total Medical Submitted Charge Amount |
1068809 |
Total Medical Medicare Allowed Amount |
839369.66 |
Total Medical Medicare Payment Amount |
639556.11 |
Total Medical Medicare Standardized Payment Amount |
633463.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
666 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
601 |
Number Of Black or African American Beneficiaries |
491 |
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 |
698 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
413 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2109 |