National Provider Identifier [NPI]: |
1255339834 |
Last Name Of The Provider |
KORRAPATI |
First Name Of The Provider |
MADHU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 OLD COUNTRY RD |
Street Address 2 Of The Provider |
SUITE 111 |
City Of The Provider |
MINEOLA |
Zip Code Of The Provider |
115014198 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
5383 |
Number Of Medicare Beneficiaries |
1015 |
Total Submitted Charge Amount |
356215.04 |
Total Medicare Allowed Amount |
352225.58 |
Total Medicare Payment Amount |
269866.18 |
Total Medicare Standardized Payment Amount |
248081.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2720 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
28410 |
Total Drug Medicare AllowedAmount |
28410 |
Total Drug Medicare PaymentAmount |
22233.62 |
Total Drug Medicare Standardized Payment Amount |
22233.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2663 |
Number Of Medicare Beneficiaries With Medical Services |
1015 |
Total Medical Submitted Charge Amount |
327805.04 |
Total Medical Medicare Allowed Amount |
323815.58 |
Total Medical Medicare Payment Amount |
247632.56 |
Total Medical Medicare Standardized Payment Amount |
225848.09 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
484 |
Number Of Male Beneficiaries |
531 |
Number Of Non Hispanic White Beneficiaries |
837 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
725 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
290 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
71 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.4709 |