| National Provider Identifier [NPI]: | 1649211673 |
| Last Name Of The Provider | SITARAM |
| First Name Of The Provider | DHUPATI |
| 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 | 6001 W OUTER DR |
| Street Address 2 Of The Provider | ST 300 |
| City Of The Provider | DETROIT |
| Zip Code Of The Provider | 482352626 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 27 |
| Number Of Services | 5034 |
| Number Of Medicare Beneficiaries | 2857 |
| Total Submitted Charge Amount | 360820 |
| Total Medicare Allowed Amount | 116132.5 |
| Total Medicare Payment Amount | 88268.17 |
| Total Medicare Standardized Payment Amount | 85167.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 23 |
| Number Of Medicare Beneficiaries With Drug Services | 23 |
| Total Drug Submitted ChargeAmount | 690 |
| Total Drug Medicare AllowedAmount | 354.2 |
| Total Drug Medicare PaymentAmount | 347.07 |
| Total Drug Medicare Standardized Payment Amount | 347.07 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 26 |
| Number Of Medical Services | 5011 |
| Number Of Medicare Beneficiaries With Medical Services | 2857 |
| Total Medical Submitted Charge Amount | 360130 |
| Total Medical Medicare Allowed Amount | 115778.3 |
| Total Medical Medicare Payment Amount | 87921.1 |
| Total Medical Medicare Standardized Payment Amount | 84820.47 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 577 |
| Number Of Beneficiaries Age 65 to 74 | 705 |
| Number Of Beneficiaries Age 75 to 84 | 806 |
| Number Of Beneficiaries Age Greater 84 | 769 |
| Number Of Female Beneficiaries | 1755 |
| Number Of Male Beneficiaries | 1102 |
| Number Of Non Hispanic White Beneficiaries | 1826 |
| Number Of Black or African American Beneficiaries | 940 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1963 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 894 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 35 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 55 |
| Percent Of With Chronic Kidney Disease | 56 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 40 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 70 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 13 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.6734 |