National Provider Identifier [NPI]: |
1427197060 |
Last Name Of The Provider |
NALLAMSHETTY |
First Name Of The Provider |
LEELAKRISHNA |
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 |
2700 UNIVERSITY SQUARE DR |
Street Address 2 Of The Provider |
RADIOLOGY ASSOCIATES OF TAMPA |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336125513 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
214 |
Number Of Services |
9590 |
Number Of Medicare Beneficiaries |
4192 |
Total Submitted Charge Amount |
1114510 |
Total Medicare Allowed Amount |
363163.12 |
Total Medicare Payment Amount |
279440.96 |
Total Medicare Standardized Payment Amount |
282291.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3820 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
8277 |
Total Drug Medicare AllowedAmount |
1568.73 |
Total Drug Medicare PaymentAmount |
1115.12 |
Total Drug Medicare Standardized Payment Amount |
1115.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
210 |
Number Of Medical Services |
5770 |
Number Of Medicare Beneficiaries With Medical Services |
4189 |
Total Medical Submitted Charge Amount |
1106233 |
Total Medical Medicare Allowed Amount |
361594.39 |
Total Medical Medicare Payment Amount |
278325.84 |
Total Medical Medicare Standardized Payment Amount |
281176.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
669 |
Number Of Beneficiaries Age 65 to 74 |
1738 |
Number Of Beneficiaries Age 75 to 84 |
1250 |
Number Of Beneficiaries Age Greater 84 |
535 |
Number Of Female Beneficiaries |
2346 |
Number Of Male Beneficiaries |
1846 |
Number Of Non Hispanic White Beneficiaries |
3353 |
Number Of Black or African American Beneficiaries |
396 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
331 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
923 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8378 |