| National Provider Identifier [NPI]: | 1477519445 |
| Last Name Of The Provider | PRASAD |
| First Name Of The Provider | CHANNA |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1648 HIGHWAY 95 |
| Street Address 2 Of The Provider | |
| City Of The Provider | BULLHEAD CITY |
| Zip Code Of The Provider | 864427906 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 45 |
| Number Of Services | 7806 |
| Number Of Medicare Beneficiaries | 2134 |
| Total Submitted Charge Amount | 1628260 |
| Total Medicare Allowed Amount | 711439.32 |
| Total Medicare Payment Amount | 530377.53 |
| Total Medicare Standardized Payment Amount | 535472.93 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 644 |
| Number Of Medicare Beneficiaries With Drug Services | 225 |
| Total Drug Submitted ChargeAmount | 32085 |
| Total Drug Medicare AllowedAmount | 20440.1 |
| Total Drug Medicare PaymentAmount | 15899.69 |
| Total Drug Medicare Standardized Payment Amount | 15899.69 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 42 |
| Number Of Medical Services | 7162 |
| Number Of Medicare Beneficiaries With Medical Services | 2134 |
| Total Medical Submitted Charge Amount | 1596175 |
| Total Medical Medicare Allowed Amount | 690999.22 |
| Total Medical Medicare Payment Amount | 514477.84 |
| Total Medical Medicare Standardized Payment Amount | 519573.24 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 170 |
| Number Of Beneficiaries Age 65 to 74 | 914 |
| Number Of Beneficiaries Age 75 to 84 | 789 |
| Number Of Beneficiaries Age Greater 84 | 261 |
| Number Of Female Beneficiaries | 1010 |
| Number Of Male Beneficiaries | 1124 |
| Number Of Non Hispanic White Beneficiaries | 1915 |
| Number Of Black or African American Beneficiaries | 34 |
| Number Of AsianPacific Islander Beneficiaries | 15 |
| Number Of Hispanic Beneficiaries | 139 |
| Number Of American Indian Alaska Native Beneficiaries | 17 |
| Number Of Beneficiaries With Race Not Else where Classified | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1872 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 262 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.4925 |