National Provider Identifier [NPI]: |
1972679959 |
Last Name Of The Provider |
VENUGOPAL |
First Name Of The Provider |
CHANDRASEKAR |
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 |
1867 E FIR AVE STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
93720 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
289 |
Number Of Services |
12829 |
Number Of Medicare Beneficiaries |
4148 |
Total Submitted Charge Amount |
2041813.6 |
Total Medicare Allowed Amount |
444838.11 |
Total Medicare Payment Amount |
340290.99 |
Total Medicare Standardized Payment Amount |
332588.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
5366 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
8795 |
Total Drug Medicare AllowedAmount |
1693.34 |
Total Drug Medicare PaymentAmount |
1301.98 |
Total Drug Medicare Standardized Payment Amount |
1301.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
275 |
Number Of Medical Services |
7463 |
Number Of Medicare Beneficiaries With Medical Services |
4148 |
Total Medical Submitted Charge Amount |
2033018.6 |
Total Medical Medicare Allowed Amount |
443144.77 |
Total Medical Medicare Payment Amount |
338989.01 |
Total Medical Medicare Standardized Payment Amount |
331286.45 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
769 |
Number Of Beneficiaries Age 65 to 74 |
1412 |
Number Of Beneficiaries Age 75 to 84 |
1190 |
Number Of Beneficiaries Age Greater 84 |
777 |
Number Of Female Beneficiaries |
2262 |
Number Of Male Beneficiaries |
1886 |
Number Of Non Hispanic White Beneficiaries |
2458 |
Number Of Black or African American Beneficiaries |
231 |
Number Of AsianPacific Islander Beneficiaries |
286 |
Number Of Hispanic Beneficiaries |
1091 |
Number Of American Indian Alaska Native Beneficiaries |
41 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1872 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2403 |