National Provider Identifier [NPI]: |
1659303444 |
Last Name Of The Provider |
TULI |
First Name Of The Provider |
MALIKA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6570 STAGE RD |
Street Address 2 Of The Provider |
SUITE 140 |
City Of The Provider |
BARTLETT |
Zip Code Of The Provider |
381342839 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
18889 |
Number Of Medicare Beneficiaries |
2265 |
Total Submitted Charge Amount |
3099929 |
Total Medicare Allowed Amount |
1732987.1 |
Total Medicare Payment Amount |
1320636.08 |
Total Medicare Standardized Payment Amount |
1386860.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
334 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
8214 |
Total Drug Medicare AllowedAmount |
7101.12 |
Total Drug Medicare PaymentAmount |
5522.89 |
Total Drug Medicare Standardized Payment Amount |
5522.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
18555 |
Number Of Medicare Beneficiaries With Medical Services |
2265 |
Total Medical Submitted Charge Amount |
3091715 |
Total Medical Medicare Allowed Amount |
1725885.98 |
Total Medical Medicare Payment Amount |
1315113.19 |
Total Medical Medicare Standardized Payment Amount |
1381337.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
1110 |
Number Of Beneficiaries Age 75 to 84 |
791 |
Number Of Beneficiaries Age Greater 84 |
279 |
Number Of Female Beneficiaries |
1167 |
Number Of Male Beneficiaries |
1098 |
Number Of Non Hispanic White Beneficiaries |
2195 |
Number Of Black or African American Beneficiaries |
32 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9975 |