National Provider Identifier [NPI]: |
1073599007 |
Last Name Of The Provider |
NALAGATLA |
First Name Of The Provider |
SUCHARITHA |
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 |
2275 MILLVILLE AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
450134248 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3089 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
302735 |
Total Medicare Allowed Amount |
218362.19 |
Total Medicare Payment Amount |
150878.53 |
Total Medicare Standardized Payment Amount |
157340.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
4180 |
Total Drug Medicare AllowedAmount |
1622.99 |
Total Drug Medicare PaymentAmount |
1558.33 |
Total Drug Medicare Standardized Payment Amount |
1558.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2948 |
Number Of Medicare Beneficiaries With Medical Services |
529 |
Total Medical Submitted Charge Amount |
298555 |
Total Medical Medicare Allowed Amount |
216739.2 |
Total Medical Medicare Payment Amount |
149320.2 |
Total Medical Medicare Standardized Payment Amount |
155781.91 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5137 |