| National Provider Identifier [NPI]: | 1134162829 |
| Last Name Of The Provider | MULLANGI |
| First Name Of The Provider | UREDDI |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 HURLEY PLZ |
| Street Address 2 Of The Provider | HURLEY MEDICAL CENTER |
| City Of The Provider | FLINT |
| Zip Code Of The Provider | 485035902 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 181 |
| Number Of Services | 32421 |
| Number Of Medicare Beneficiaries | 4855 |
| Total Submitted Charge Amount | 1166643 |
| Total Medicare Allowed Amount | 530101.62 |
| Total Medicare Payment Amount | 437176.12 |
| Total Medicare Standardized Payment Amount | 467210.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 23254 |
| Number Of Medicare Beneficiaries With Drug Services | 212 |
| Total Drug Submitted ChargeAmount | 40825 |
| Total Drug Medicare AllowedAmount | 4458.23 |
| Total Drug Medicare PaymentAmount | 3438.36 |
| Total Drug Medicare Standardized Payment Amount | 3438.36 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 179 |
| Number Of Medical Services | 9167 |
| Number Of Medicare Beneficiaries With Medical Services | 4855 |
| Total Medical Submitted Charge Amount | 1125818 |
| Total Medical Medicare Allowed Amount | 525643.39 |
| Total Medical Medicare Payment Amount | 433737.76 |
| Total Medical Medicare Standardized Payment Amount | 463772.31 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 1266 |
| Number Of Beneficiaries Age 65 to 74 | 1825 |
| Number Of Beneficiaries Age 75 to 84 | 1266 |
| Number Of Beneficiaries Age Greater 84 | 498 |
| Number Of Female Beneficiaries | 3448 |
| Number Of Male Beneficiaries | 1407 |
| Number Of Non Hispanic White Beneficiaries | 3505 |
| Number Of Black or African American Beneficiaries | 1203 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 69 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3526 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1329 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4956 |