National Provider Identifier [NPI]: |
1427039205 |
Last Name Of The Provider |
UNNI |
First Name Of The Provider |
RAMESH |
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 |
400 WEST 84TH DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
46410 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
5606 |
Number Of Medicare Beneficiaries |
1368 |
Total Submitted Charge Amount |
1358836.86 |
Total Medicare Allowed Amount |
453135.53 |
Total Medicare Payment Amount |
338726.95 |
Total Medicare Standardized Payment Amount |
357614.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
631 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
166621.28 |
Total Drug Medicare AllowedAmount |
63351.68 |
Total Drug Medicare PaymentAmount |
49328.27 |
Total Drug Medicare Standardized Payment Amount |
49328.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
4975 |
Number Of Medicare Beneficiaries With Medical Services |
1368 |
Total Medical Submitted Charge Amount |
1192215.58 |
Total Medical Medicare Allowed Amount |
389783.85 |
Total Medical Medicare Payment Amount |
289398.68 |
Total Medical Medicare Standardized Payment Amount |
308286.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
557 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
850 |
Number Of Non Hispanic White Beneficiaries |
1140 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6896 |