| National Provider Identifier [NPI]: | 1437297298 |
| Last Name Of The Provider | VUTHOORI |
| First Name Of The Provider | SURENDER |
| 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 | 63532 29 PALMS HWY |
| Street Address 2 Of The Provider | STE A |
| City Of The Provider | JOSHUA TREE |
| Zip Code Of The Provider | 92252 |
| 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 | 72 |
| Number Of Services | 11630 |
| Number Of Medicare Beneficiaries | 2690 |
| Total Submitted Charge Amount | 2584811.14 |
| Total Medicare Allowed Amount | 980934.93 |
| Total Medicare Payment Amount | 749604.05 |
| Total Medicare Standardized Payment Amount | 731234.26 |
| 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 | 72 |
| Number Of Medical Services | 11630 |
| Number Of Medicare Beneficiaries With Medical Services | 2690 |
| Total Medical Submitted Charge Amount | 2584811.14 |
| Total Medical Medicare Allowed Amount | 980934.93 |
| Total Medical Medicare Payment Amount | 749604.05 |
| Total Medical Medicare Standardized Payment Amount | 731234.26 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 262 |
| Number Of Beneficiaries Age 65 to 74 | 916 |
| Number Of Beneficiaries Age 75 to 84 | 949 |
| Number Of Beneficiaries Age Greater 84 | 563 |
| Number Of Female Beneficiaries | 1309 |
| Number Of Male Beneficiaries | 1381 |
| Number Of Non Hispanic White Beneficiaries | 2132 |
| Number Of Black or African American Beneficiaries | 55 |
| Number Of AsianPacific Islander Beneficiaries | 31 |
| Number Of Hispanic Beneficiaries | 422 |
| Number Of American Indian Alaska Native Beneficiaries | 20 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2091 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 599 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9076 |