National Provider Identifier [NPI]: |
1659353829 |
Last Name Of The Provider |
ATLURI |
First Name Of The Provider |
SAIRAM |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7655 5 MILE RD |
Street Address 2 Of The Provider |
STE 117 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452304326 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
4378 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
1086369 |
Total Medicare Allowed Amount |
313623.74 |
Total Medicare Payment Amount |
236302.13 |
Total Medicare Standardized Payment Amount |
229615.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1417 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
21453 |
Total Drug Medicare AllowedAmount |
4258.86 |
Total Drug Medicare PaymentAmount |
3318.39 |
Total Drug Medicare Standardized Payment Amount |
3318.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2961 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
1064916 |
Total Medical Medicare Allowed Amount |
309364.88 |
Total Medical Medicare Payment Amount |
232983.74 |
Total Medical Medicare Standardized Payment Amount |
226297.03 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
240 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
409 |
Number Of Male Beneficiaries |
244 |
Number Of Non Hispanic White Beneficiaries |
622 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
463 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3107 |