National Provider Identifier [NPI]: |
1093978751 |
Last Name Of The Provider |
HOTTIGOUDAR |
First Name Of The Provider |
RASHMI |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17 CENTRE PLAZA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383052862 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
14175 |
Number Of Medicare Beneficiaries |
1192 |
Total Submitted Charge Amount |
852410.5 |
Total Medicare Allowed Amount |
297497.2 |
Total Medicare Payment Amount |
223495.62 |
Total Medicare Standardized Payment Amount |
245323.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
11260 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
3297.5 |
Total Drug Medicare AllowedAmount |
2392.49 |
Total Drug Medicare PaymentAmount |
1866.78 |
Total Drug Medicare Standardized Payment Amount |
1866.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
2915 |
Number Of Medicare Beneficiaries With Medical Services |
1192 |
Total Medical Submitted Charge Amount |
849113 |
Total Medical Medicare Allowed Amount |
295104.71 |
Total Medical Medicare Payment Amount |
221628.84 |
Total Medical Medicare Standardized Payment Amount |
243456.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
289 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
621 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
1000 |
Number Of Black or African American Beneficiaries |
179 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
681 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.032 |