National Provider Identifier [NPI]: |
1881782647 |
Last Name Of The Provider |
RAMINENI |
First Name Of The Provider |
NEELAKANTAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4537 COLLEGE AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921154010 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
1335 |
Number Of Medicare Beneficiaries |
387 |
Total Submitted Charge Amount |
196670 |
Total Medicare Allowed Amount |
149148.48 |
Total Medicare Payment Amount |
116568.14 |
Total Medicare Standardized Payment Amount |
117886.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
375 |
Total Drug Medicare AllowedAmount |
180.6 |
Total Drug Medicare PaymentAmount |
177 |
Total Drug Medicare Standardized Payment Amount |
177 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
1320 |
Number Of Medicare Beneficiaries With Medical Services |
387 |
Total Medical Submitted Charge Amount |
196295 |
Total Medical Medicare Allowed Amount |
148967.88 |
Total Medical Medicare Payment Amount |
116391.14 |
Total Medical Medicare Standardized Payment Amount |
117709.02 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
73 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
250 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
79 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
308 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
65 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
67 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.3518 |