National Provider Identifier [NPI]: |
1992704209 |
Last Name Of The Provider |
VALLAPURI |
First Name Of The Provider |
SRINIVAS |
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 |
1400 N RITTER AVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462193052 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
4071 |
Number Of Medicare Beneficiaries |
2067 |
Total Submitted Charge Amount |
598912 |
Total Medicare Allowed Amount |
249347.38 |
Total Medicare Payment Amount |
182228.02 |
Total Medicare Standardized Payment Amount |
195777.49 |
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 |
78 |
Number Of Medical Services |
4071 |
Number Of Medicare Beneficiaries With Medical Services |
2067 |
Total Medical Submitted Charge Amount |
598912 |
Total Medical Medicare Allowed Amount |
249347.38 |
Total Medical Medicare Payment Amount |
182228.02 |
Total Medical Medicare Standardized Payment Amount |
195777.49 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
527 |
Number Of Beneficiaries Age 65 to 74 |
741 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
1201 |
Number Of Male Beneficiaries |
866 |
Number Of Non Hispanic White Beneficiaries |
1513 |
Number Of Black or African American Beneficiaries |
507 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
660 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8401 |