| National Provider Identifier [NPI]: | 1700838380 |
| Last Name Of The Provider | MEDEPALLI |
| First Name Of The Provider | LALITHA |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 S ENOTA DR NE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | GAINESVILLE |
| Zip Code Of The Provider | 305013466 |
| State Code Of The Provider | GA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 70 |
| Number Of Services | 9414 |
| Number Of Medicare Beneficiaries | 2723 |
| Total Submitted Charge Amount | 1907685.55 |
| Total Medicare Allowed Amount | 607761.89 |
| Total Medicare Payment Amount | 452567.62 |
| Total Medicare Standardized Payment Amount | 478474.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 310 |
| Number Of Medicare Beneficiaries With Drug Services | 84 |
| Total Drug Submitted ChargeAmount | 40086.55 |
| Total Drug Medicare AllowedAmount | 16036.05 |
| Total Drug Medicare PaymentAmount | 12319.37 |
| Total Drug Medicare Standardized Payment Amount | 12319.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 66 |
| Number Of Medical Services | 9104 |
| Number Of Medicare Beneficiaries With Medical Services | 2723 |
| Total Medical Submitted Charge Amount | 1867599 |
| Total Medical Medicare Allowed Amount | 591725.84 |
| Total Medical Medicare Payment Amount | 440248.25 |
| Total Medical Medicare Standardized Payment Amount | 466154.7 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 314 |
| Number Of Beneficiaries Age 65 to 74 | 1008 |
| Number Of Beneficiaries Age 75 to 84 | 1005 |
| Number Of Beneficiaries Age Greater 84 | 396 |
| Number Of Female Beneficiaries | 1442 |
| Number Of Male Beneficiaries | 1281 |
| Number Of Non Hispanic White Beneficiaries | 2548 |
| Number Of Black or African American Beneficiaries | 88 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 56 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2165 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 558 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 41 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.6864 |