National Provider Identifier [NPI]: |
1518962588 |
Last Name Of The Provider |
VADUGANATHAN |
First Name Of The Provider |
PERIYANAN |
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 |
11914 ASTORIA BLVD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770896046 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
8137 |
Number Of Medicare Beneficiaries |
1144 |
Total Submitted Charge Amount |
3511625 |
Total Medicare Allowed Amount |
740511.03 |
Total Medicare Payment Amount |
552727.92 |
Total Medicare Standardized Payment Amount |
555168.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
20175 |
Total Drug Medicare AllowedAmount |
10051.2 |
Total Drug Medicare PaymentAmount |
7880.03 |
Total Drug Medicare Standardized Payment Amount |
7880.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7940 |
Number Of Medicare Beneficiaries With Medical Services |
1144 |
Total Medical Submitted Charge Amount |
3491450 |
Total Medical Medicare Allowed Amount |
730459.83 |
Total Medical Medicare Payment Amount |
544847.89 |
Total Medical Medicare Standardized Payment Amount |
547288.21 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
649 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
644 |
Number Of Black or African American Beneficiaries |
154 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
287 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
820 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1047 |