| National Provider Identifier [NPI]: | 1942202676 |
| Last Name Of The Provider | CHALLAPPA |
| First Name Of The Provider | KRISHNAN |
| 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 | 1324 WOODLAND DR |
| Street Address 2 Of The Provider | SUITE A |
| City Of The Provider | ELIZABETHTOWN |
| Zip Code Of The Provider | 427012651 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 62 |
| Number Of Services | 12009 |
| Number Of Medicare Beneficiaries | 2617 |
| Total Submitted Charge Amount | 1534546 |
| Total Medicare Allowed Amount | 750178.27 |
| Total Medicare Payment Amount | 550059.03 |
| Total Medicare Standardized Payment Amount | 589448.7 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1036 |
| Number Of Medicare Beneficiaries With Drug Services | 263 |
| Total Drug Submitted ChargeAmount | 62660 |
| Total Drug Medicare AllowedAmount | 54367.96 |
| Total Drug Medicare PaymentAmount | 42065.34 |
| Total Drug Medicare Standardized Payment Amount | 42065.34 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 59 |
| Number Of Medical Services | 10973 |
| Number Of Medicare Beneficiaries With Medical Services | 2617 |
| Total Medical Submitted Charge Amount | 1471886 |
| Total Medical Medicare Allowed Amount | 695810.31 |
| Total Medical Medicare Payment Amount | 507993.69 |
| Total Medical Medicare Standardized Payment Amount | 547383.36 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 452 |
| Number Of Beneficiaries Age 65 to 74 | 939 |
| Number Of Beneficiaries Age 75 to 84 | 900 |
| Number Of Beneficiaries Age Greater 84 | 326 |
| Number Of Female Beneficiaries | 1405 |
| Number Of Male Beneficiaries | 1212 |
| Number Of Non Hispanic White Beneficiaries | 2428 |
| Number Of Black or African American Beneficiaries | 143 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 18 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1931 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 686 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 48 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.61 |