National Provider Identifier [NPI]: |
1649359043 |
Last Name Of The Provider |
UMAKANTHAN |
First Name Of The Provider |
BRANAVAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3150 N TENAYA WAY |
Street Address 2 Of The Provider |
SUITE #320 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891280443 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
35797 |
Number Of Medicare Beneficiaries |
2185 |
Total Submitted Charge Amount |
4446636 |
Total Medicare Allowed Amount |
1346205.89 |
Total Medicare Payment Amount |
1025453.04 |
Total Medicare Standardized Payment Amount |
1022128.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
26280 |
Number Of Medicare Beneficiaries With Drug Services |
341 |
Total Drug Submitted ChargeAmount |
131793 |
Total Drug Medicare AllowedAmount |
57675.57 |
Total Drug Medicare PaymentAmount |
44306.66 |
Total Drug Medicare Standardized Payment Amount |
44306.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
163 |
Number Of Medical Services |
9517 |
Number Of Medicare Beneficiaries With Medical Services |
2185 |
Total Medical Submitted Charge Amount |
4314843 |
Total Medical Medicare Allowed Amount |
1288530.32 |
Total Medical Medicare Payment Amount |
981146.38 |
Total Medical Medicare Standardized Payment Amount |
977822.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
276 |
Number Of Beneficiaries Age 65 to 74 |
822 |
Number Of Beneficiaries Age 75 to 84 |
716 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
1051 |
Number Of Male Beneficiaries |
1134 |
Number Of Non Hispanic White Beneficiaries |
1694 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
89 |
Number Of Hispanic Beneficiaries |
166 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
483 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9536 |