| National Provider Identifier [NPI]: | 1003806738 |
| Last Name Of The Provider | RAMAKRISHNAN |
| First Name Of The Provider | MANNACHANALLUR |
| 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 | 9480 HIGHWAY 805 |
| Street Address 2 Of The Provider | |
| City Of The Provider | JENKINS |
| Zip Code Of The Provider | 415378182 |
| State Code Of The Provider | KY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 9196 |
| Number Of Medicare Beneficiaries | 4381 |
| Total Submitted Charge Amount | 924068 |
| Total Medicare Allowed Amount | 241766.21 |
| Total Medicare Payment Amount | 187119.07 |
| Total Medicare Standardized Payment Amount | 192141.73 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 9196 |
| Number Of Medicare Beneficiaries With Medical Services | 4381 |
| Total Medical Submitted Charge Amount | 924068 |
| Total Medical Medicare Allowed Amount | 241766.21 |
| Total Medical Medicare Payment Amount | 187119.07 |
| Total Medical Medicare Standardized Payment Amount | 192141.73 |
| Average Age Of Beneficiaries | 66 |
| Number Of Beneficiaries Age Less65 | 1604 |
| Number Of Beneficiaries Age 65 to 74 | 1497 |
| Number Of Beneficiaries Age 75 to 84 | 932 |
| Number Of Beneficiaries Age Greater 84 | 348 |
| Number Of Female Beneficiaries | 2557 |
| Number Of Male Beneficiaries | 1824 |
| Number Of Non Hispanic White Beneficiaries | 4286 |
| Number Of Black or African American Beneficiaries | 61 |
| 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 | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2529 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1852 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3351 |