National Provider Identifier [NPI]: |
1033186861 |
Last Name Of The Provider |
RAMAMURTHI |
First Name Of The Provider |
KALYANA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44200 WOODWARD AVE |
Street Address 2 Of The Provider |
SUIE 209 |
City Of The Provider |
PONTIAC |
Zip Code Of The Provider |
483415045 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
9216 |
Number Of Medicare Beneficiaries |
850 |
Total Submitted Charge Amount |
1119099 |
Total Medicare Allowed Amount |
440556.64 |
Total Medicare Payment Amount |
339542.12 |
Total Medicare Standardized Payment Amount |
330254.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5313 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
27720 |
Total Drug Medicare AllowedAmount |
7310.33 |
Total Drug Medicare PaymentAmount |
5785.33 |
Total Drug Medicare Standardized Payment Amount |
5785.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3903 |
Number Of Medicare Beneficiaries With Medical Services |
850 |
Total Medical Submitted Charge Amount |
1091379 |
Total Medical Medicare Allowed Amount |
433246.31 |
Total Medical Medicare Payment Amount |
333756.79 |
Total Medical Medicare Standardized Payment Amount |
324468.69 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
443 |
Number Of Non Hispanic White Beneficiaries |
570 |
Number Of Black or African American Beneficiaries |
223 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
4.0597 |