National Provider Identifier [NPI]: |
1609917665 |
Last Name Of The Provider |
AKELLA |
First Name Of The Provider |
JAGAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6400 MANATEE AVE W |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342092357 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
11675 |
Number Of Medicare Beneficiaries |
1082 |
Total Submitted Charge Amount |
1796934 |
Total Medicare Allowed Amount |
884329.58 |
Total Medicare Payment Amount |
681589.21 |
Total Medicare Standardized Payment Amount |
686155.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5136 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
64558 |
Total Drug Medicare AllowedAmount |
30786.56 |
Total Drug Medicare PaymentAmount |
23970.94 |
Total Drug Medicare Standardized Payment Amount |
23970.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
6539 |
Number Of Medicare Beneficiaries With Medical Services |
1082 |
Total Medical Submitted Charge Amount |
1732376 |
Total Medical Medicare Allowed Amount |
853543.02 |
Total Medical Medicare Payment Amount |
657618.27 |
Total Medical Medicare Standardized Payment Amount |
662184.88 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
616 |
Number Of Male Beneficiaries |
466 |
Number Of Non Hispanic White Beneficiaries |
981 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
885 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6676 |