National Provider Identifier [NPI]: |
1013921253 |
Last Name Of The Provider |
VENUGOPAL |
First Name Of The Provider |
SANDHYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4860 Y ST |
Street Address 2 Of The Provider |
SUITE 2820 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958172307 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
5532 |
Number Of Medicare Beneficiaries |
3333 |
Total Submitted Charge Amount |
576182 |
Total Medicare Allowed Amount |
144152.08 |
Total Medicare Payment Amount |
109018.24 |
Total Medicare Standardized Payment Amount |
106357.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5532 |
Number Of Medicare Beneficiaries With Medical Services |
3333 |
Total Medical Submitted Charge Amount |
576182 |
Total Medical Medicare Allowed Amount |
144152.08 |
Total Medical Medicare Payment Amount |
109018.24 |
Total Medical Medicare Standardized Payment Amount |
106357.2 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
866 |
Number Of Beneficiaries Age 65 to 74 |
1220 |
Number Of Beneficiaries Age 75 to 84 |
837 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
1653 |
Number Of Male Beneficiaries |
1680 |
Number Of Non Hispanic White Beneficiaries |
2121 |
Number Of Black or African American Beneficiaries |
465 |
Number Of AsianPacific Islander Beneficiaries |
322 |
Number Of Hispanic Beneficiaries |
331 |
Number Of American Indian Alaska Native Beneficiaries |
25 |
Number Of Beneficiaries With Race Not Else where Classified |
69 |
Number Of Beneficiaries With Medicare Only Entitlement |
1886 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1447 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.1591 |