| National Provider Identifier [NPI]: | 1013960285 |
| Last Name Of The Provider | SUNDARAM |
| First Name Of The Provider | KALYANA |
| 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 | 419 EAST DONALD STREET |
| Street Address 2 Of The Provider | |
| City Of The Provider | WATERLOO |
| Zip Code Of The Provider | 507031223 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 10585 |
| Number Of Medicare Beneficiaries | 2673 |
| Total Submitted Charge Amount | 3152841 |
| Total Medicare Allowed Amount | 1208287.55 |
| Total Medicare Payment Amount | 916628 |
| Total Medicare Standardized Payment Amount | 982865.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1943 |
| Number Of Medicare Beneficiaries With Drug Services | 465 |
| Total Drug Submitted ChargeAmount | 187853 |
| Total Drug Medicare AllowedAmount | 99419.78 |
| Total Drug Medicare PaymentAmount | 77788.55 |
| Total Drug Medicare Standardized Payment Amount | 77788.55 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 64 |
| Number Of Medical Services | 8642 |
| Number Of Medicare Beneficiaries With Medical Services | 2673 |
| Total Medical Submitted Charge Amount | 2964988 |
| Total Medical Medicare Allowed Amount | 1108867.77 |
| Total Medical Medicare Payment Amount | 838839.45 |
| Total Medical Medicare Standardized Payment Amount | 905077.11 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 162 |
| Number Of Beneficiaries Age 65 to 74 | 1004 |
| Number Of Beneficiaries Age 75 to 84 | 959 |
| Number Of Beneficiaries Age Greater 84 | 548 |
| Number Of Female Beneficiaries | 1258 |
| Number Of Male Beneficiaries | 1415 |
| Number Of Non Hispanic White Beneficiaries | 2566 |
| Number Of Black or African American Beneficiaries | 77 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2390 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 283 |
| Percent Of With Atrial Fibrillation | 36 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 6 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.461 |