National Provider Identifier [NPI]: |
1245289420 |
Last Name Of The Provider |
VENKATESAN |
First Name Of The Provider |
KALPATHY |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
365 PEARSON DR |
Street Address 2 Of The Provider |
SUITE #5 |
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
932573360 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
4240 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
479080 |
Total Medicare Allowed Amount |
353235.04 |
Total Medicare Payment Amount |
257087.24 |
Total Medicare Standardized Payment Amount |
265280.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
389 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
7575 |
Total Drug Medicare AllowedAmount |
932.53 |
Total Drug Medicare PaymentAmount |
711.1 |
Total Drug Medicare Standardized Payment Amount |
711.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3851 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
471505 |
Total Medical Medicare Allowed Amount |
352302.51 |
Total Medical Medicare Payment Amount |
256376.14 |
Total Medical Medicare Standardized Payment Amount |
264568.93 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
274 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2807 |