National Provider Identifier [NPI]: |
1093797193 |
Last Name Of The Provider |
CHEKURI |
First Name Of The Provider |
KASI |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1202 3RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042314 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
9008 |
Number Of Medicare Beneficiaries |
1581 |
Total Submitted Charge Amount |
1367842.15 |
Total Medicare Allowed Amount |
549473.61 |
Total Medicare Payment Amount |
414449.06 |
Total Medicare Standardized Payment Amount |
436171.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1609 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
28903.97 |
Total Drug Medicare AllowedAmount |
20202.92 |
Total Drug Medicare PaymentAmount |
15495.34 |
Total Drug Medicare Standardized Payment Amount |
15495.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
7399 |
Number Of Medicare Beneficiaries With Medical Services |
1581 |
Total Medical Submitted Charge Amount |
1338938.18 |
Total Medical Medicare Allowed Amount |
529270.69 |
Total Medical Medicare Payment Amount |
398953.72 |
Total Medical Medicare Standardized Payment Amount |
420675.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
498 |
Number Of Beneficiaries Age Greater 84 |
279 |
Number Of Female Beneficiaries |
820 |
Number Of Male Beneficiaries |
761 |
Number Of Non Hispanic White Beneficiaries |
939 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
584 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1071 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
510 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1996 |