National Provider Identifier [NPI]: |
1356317648 |
Last Name Of The Provider |
VENKATESH |
First Name Of The Provider |
GOVINDARAJAN |
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 |
1 GUTHRIE SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAYRE |
Zip Code Of The Provider |
188401625 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
7262 |
Number Of Medicare Beneficiaries |
2250 |
Total Submitted Charge Amount |
1474812.5 |
Total Medicare Allowed Amount |
340579.35 |
Total Medicare Payment Amount |
253211.45 |
Total Medicare Standardized Payment Amount |
261728.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1693 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
26404 |
Total Drug Medicare AllowedAmount |
9690.37 |
Total Drug Medicare PaymentAmount |
7270.04 |
Total Drug Medicare Standardized Payment Amount |
7270.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
5569 |
Number Of Medicare Beneficiaries With Medical Services |
2249 |
Total Medical Submitted Charge Amount |
1448408.5 |
Total Medical Medicare Allowed Amount |
330888.98 |
Total Medical Medicare Payment Amount |
245941.41 |
Total Medical Medicare Standardized Payment Amount |
254458.25 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
291 |
Number Of Beneficiaries Age 65 to 74 |
679 |
Number Of Beneficiaries Age 75 to 84 |
774 |
Number Of Beneficiaries Age Greater 84 |
506 |
Number Of Female Beneficiaries |
1132 |
Number Of Male Beneficiaries |
1118 |
Number Of Non Hispanic White Beneficiaries |
2200 |
Number Of Black or African American Beneficiaries |
14 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7376 |