National Provider Identifier [NPI]: |
1952329799 |
Last Name Of The Provider |
KATA |
First Name Of The Provider |
SRINIVAS |
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 |
4417 FOLSE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
METAIRIE |
Zip Code Of The Provider |
700061226 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
2728 |
Number Of Medicare Beneficiaries |
552 |
Total Submitted Charge Amount |
218133.16 |
Total Medicare Allowed Amount |
114821.72 |
Total Medicare Payment Amount |
81345.58 |
Total Medicare Standardized Payment Amount |
80063.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1002 |
Number Of Medicare Beneficiaries With Drug Services |
323 |
Total Drug Submitted ChargeAmount |
16383.2 |
Total Drug Medicare AllowedAmount |
6563.49 |
Total Drug Medicare PaymentAmount |
5031.09 |
Total Drug Medicare Standardized Payment Amount |
5031.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
1726 |
Number Of Medicare Beneficiaries With Medical Services |
551 |
Total Medical Submitted Charge Amount |
201749.96 |
Total Medical Medicare Allowed Amount |
108258.23 |
Total Medical Medicare Payment Amount |
76314.49 |
Total Medical Medicare Standardized Payment Amount |
75032.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
476 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9229 |