National Provider Identifier [NPI]: |
1912951500 |
Last Name Of The Provider |
SOUNDAPPAN |
First Name Of The Provider |
APPAVUCHETTY |
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 |
1115 MORNINGSIDE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PERRY |
Zip Code Of The Provider |
310692905 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
9345 |
Number Of Medicare Beneficiaries |
937 |
Total Submitted Charge Amount |
1570789.74 |
Total Medicare Allowed Amount |
830736.16 |
Total Medicare Payment Amount |
622141.4 |
Total Medicare Standardized Payment Amount |
621253.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
19579.32 |
Total Drug Medicare AllowedAmount |
8758.13 |
Total Drug Medicare PaymentAmount |
7030.83 |
Total Drug Medicare Standardized Payment Amount |
7030.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
9178 |
Number Of Medicare Beneficiaries With Medical Services |
937 |
Total Medical Submitted Charge Amount |
1551210.42 |
Total Medical Medicare Allowed Amount |
821978.03 |
Total Medical Medicare Payment Amount |
615110.57 |
Total Medical Medicare Standardized Payment Amount |
614222.24 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
303 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
608 |
Number Of Black or African American Beneficiaries |
297 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
596 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
341 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7409 |