National Provider Identifier [NPI]: |
1790785442 |
Last Name Of The Provider |
DAMARAJU |
First Name Of The Provider |
SRIKANTH |
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 |
613 ELIZABETH ST |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784042220 |
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 |
112 |
Number Of Services |
4926 |
Number Of Medicare Beneficiaries |
1067 |
Total Submitted Charge Amount |
1522119 |
Total Medicare Allowed Amount |
475569.01 |
Total Medicare Payment Amount |
354819.97 |
Total Medicare Standardized Payment Amount |
375021.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
216 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
12528 |
Total Drug Medicare AllowedAmount |
11439.24 |
Total Drug Medicare PaymentAmount |
8968.24 |
Total Drug Medicare Standardized Payment Amount |
8968.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
111 |
Number Of Medical Services |
4710 |
Number Of Medicare Beneficiaries With Medical Services |
1067 |
Total Medical Submitted Charge Amount |
1509591 |
Total Medical Medicare Allowed Amount |
464129.77 |
Total Medical Medicare Payment Amount |
345851.73 |
Total Medical Medicare Standardized Payment Amount |
366053.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
350 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
525 |
Number Of Male Beneficiaries |
542 |
Number Of Non Hispanic White Beneficiaries |
642 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
387 |
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 |
247 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0305 |