| National Provider Identifier [NPI]: | 1588692230 |
| Last Name Of The Provider | PRABAKARAN |
| First Name Of The Provider | BALA |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1550 BARKLEY CIR |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339074539 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 56 |
| Number Of Services | 7914 |
| Number Of Medicare Beneficiaries | 3698 |
| Total Submitted Charge Amount | 1173025 |
| Total Medicare Allowed Amount | 541287.83 |
| Total Medicare Payment Amount | 398891.09 |
| Total Medicare Standardized Payment Amount | 384664.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 29 |
| Number Of Medicare Beneficiaries With Drug Services | 26 |
| Total Drug Submitted ChargeAmount | 731 |
| Total Drug Medicare AllowedAmount | 264.8 |
| Total Drug Medicare PaymentAmount | 207.65 |
| Total Drug Medicare Standardized Payment Amount | 207.65 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 54 |
| Number Of Medical Services | 7885 |
| Number Of Medicare Beneficiaries With Medical Services | 3698 |
| Total Medical Submitted Charge Amount | 1172294 |
| Total Medical Medicare Allowed Amount | 541023.03 |
| Total Medical Medicare Payment Amount | 398683.44 |
| Total Medical Medicare Standardized Payment Amount | 384456.63 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 198 |
| Number Of Beneficiaries Age 65 to 74 | 1286 |
| Number Of Beneficiaries Age 75 to 84 | 1459 |
| Number Of Beneficiaries Age Greater 84 | 755 |
| Number Of Female Beneficiaries | 1681 |
| Number Of Male Beneficiaries | 2017 |
| Number Of Non Hispanic White Beneficiaries | 3352 |
| Number Of Black or African American Beneficiaries | 97 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 172 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3368 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 330 |
| Percent Of With Atrial Fibrillation | 43 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 70 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.5644 |