National Provider Identifier [NPI]: |
1982642914 |
Last Name Of The Provider |
NETAJI |
First Name Of The Provider |
BALIJEPALLI |
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 |
12201 RENFERT WAY |
Street Address 2 Of The Provider |
SUITE 245 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787585368 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
97385 |
Number Of Medicare Beneficiaries |
497 |
Total Submitted Charge Amount |
4630985 |
Total Medicare Allowed Amount |
1292638.5 |
Total Medicare Payment Amount |
1010111.11 |
Total Medicare Standardized Payment Amount |
1011853.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
85284 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
2880904 |
Total Drug Medicare AllowedAmount |
751855.41 |
Total Drug Medicare PaymentAmount |
586161.78 |
Total Drug Medicare Standardized Payment Amount |
586161.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
12101 |
Number Of Medicare Beneficiaries With Medical Services |
497 |
Total Medical Submitted Charge Amount |
1750081 |
Total Medical Medicare Allowed Amount |
540783.09 |
Total Medical Medicare Payment Amount |
423949.33 |
Total Medical Medicare Standardized Payment Amount |
425691.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
193 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7739 |