| National Provider Identifier [NPI]: | 1164533386 |
| Last Name Of The Provider | MENON |
| First Name Of The Provider | PADMAN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5249 PROVIDENCE ROAD |
| Street Address 2 Of The Provider | |
| City Of The Provider | VIRGINIA BEACH |
| Zip Code Of The Provider | 234644201 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 105 |
| Number Of Services | 13747 |
| Number Of Medicare Beneficiaries | 2580 |
| Total Submitted Charge Amount | 1541184.67 |
| Total Medicare Allowed Amount | 1266106.57 |
| Total Medicare Payment Amount | 943190.11 |
| Total Medicare Standardized Payment Amount | 837062.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1264 |
| Number Of Medicare Beneficiaries With Drug Services | 145 |
| Total Drug Submitted ChargeAmount | 13964.1 |
| Total Drug Medicare AllowedAmount | 13259.84 |
| Total Drug Medicare PaymentAmount | 9679.56 |
| Total Drug Medicare Standardized Payment Amount | 9679.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 103 |
| Number Of Medical Services | 12483 |
| Number Of Medicare Beneficiaries With Medical Services | 2579 |
| Total Medical Submitted Charge Amount | 1527220.57 |
| Total Medical Medicare Allowed Amount | 1252846.73 |
| Total Medical Medicare Payment Amount | 933510.55 |
| Total Medical Medicare Standardized Payment Amount | 827382.75 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 167 |
| Number Of Beneficiaries Age 65 to 74 | 1294 |
| Number Of Beneficiaries Age 75 to 84 | 842 |
| Number Of Beneficiaries Age Greater 84 | 277 |
| Number Of Female Beneficiaries | 1385 |
| Number Of Male Beneficiaries | 1195 |
| Number Of Non Hispanic White Beneficiaries | 2336 |
| Number Of Black or African American Beneficiaries | 151 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2403 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 177 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 14 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 63 |
| Percent Of With Ischemic Heart Disease | 25 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9521 |