| National Provider Identifier [NPI]: | 1821005422 |
| Last Name Of The Provider | PALLY |
| First Name Of The Provider | MADHAVA |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D., P.A. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 228 PLAZA DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | LEHIGH ACRES |
| Zip Code Of The Provider | 339366054 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 62 |
| Number Of Services | 14811 |
| Number Of Medicare Beneficiaries | 2563 |
| Total Submitted Charge Amount | 2572648 |
| Total Medicare Allowed Amount | 1256948.85 |
| Total Medicare Payment Amount | 962773.26 |
| Total Medicare Standardized Payment Amount | 928527.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 1854 |
| Number Of Medicare Beneficiaries With Drug Services | 172 |
| Total Drug Submitted ChargeAmount | 48257 |
| Total Drug Medicare AllowedAmount | 22159.35 |
| Total Drug Medicare PaymentAmount | 17371.94 |
| Total Drug Medicare Standardized Payment Amount | 17371.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 57 |
| Number Of Medical Services | 12957 |
| Number Of Medicare Beneficiaries With Medical Services | 2563 |
| Total Medical Submitted Charge Amount | 2524391 |
| Total Medical Medicare Allowed Amount | 1234789.5 |
| Total Medical Medicare Payment Amount | 945401.32 |
| Total Medical Medicare Standardized Payment Amount | 911155.27 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 299 |
| Number Of Beneficiaries Age 65 to 74 | 903 |
| Number Of Beneficiaries Age 75 to 84 | 855 |
| Number Of Beneficiaries Age Greater 84 | 506 |
| Number Of Female Beneficiaries | 1398 |
| Number Of Male Beneficiaries | 1165 |
| Number Of Non Hispanic White Beneficiaries | 2140 |
| Number Of Black or African American Beneficiaries | 174 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 214 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1957 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 606 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.8024 |