National Provider Identifier [NPI]: |
1841360930 |
Last Name Of The Provider |
CHUNDURU |
First Name Of The Provider |
NAGESWARA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
528 N UNIVERSITY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371303012 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
2439 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
297838 |
Total Medicare Allowed Amount |
179351.43 |
Total Medicare Payment Amount |
133278.96 |
Total Medicare Standardized Payment Amount |
142306.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
4765 |
Total Drug Medicare AllowedAmount |
1867.18 |
Total Drug Medicare PaymentAmount |
1789.58 |
Total Drug Medicare Standardized Payment Amount |
1789.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2279 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
293073 |
Total Medical Medicare Allowed Amount |
177484.25 |
Total Medical Medicare Payment Amount |
131489.38 |
Total Medical Medicare Standardized Payment Amount |
140517.08 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
309 |
Number Of Black or African American Beneficiaries |
47 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6094 |