| National Provider Identifier [NPI]: | 1386740421 |
| Last Name Of The Provider | THAYAPRAN |
| First Name Of The Provider | NALLATHAMBY |
| 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 | 999 W MORTON AVE |
| Street Address 2 Of The Provider | SUITE B |
| City Of The Provider | PORTERVILLE |
| Zip Code Of The Provider | 932573145 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 118 |
| Number Of Services | 14257 |
| Number Of Medicare Beneficiaries | 2935 |
| Total Submitted Charge Amount | 5911416.72 |
| Total Medicare Allowed Amount | 2182650.35 |
| Total Medicare Payment Amount | 1682982.57 |
| Total Medicare Standardized Payment Amount | 1597852.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 1112 |
| Number Of Medicare Beneficiaries With Drug Services | 343 |
| Total Drug Submitted ChargeAmount | 104910 |
| Total Drug Medicare AllowedAmount | 4371.76 |
| Total Drug Medicare PaymentAmount | 3425.1 |
| Total Drug Medicare Standardized Payment Amount | 3425.1 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 112 |
| Number Of Medical Services | 13145 |
| Number Of Medicare Beneficiaries With Medical Services | 2935 |
| Total Medical Submitted Charge Amount | 5806506.72 |
| Total Medical Medicare Allowed Amount | 2178278.59 |
| Total Medical Medicare Payment Amount | 1679557.47 |
| Total Medical Medicare Standardized Payment Amount | 1594427.85 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 506 |
| Number Of Beneficiaries Age 65 to 74 | 1125 |
| Number Of Beneficiaries Age 75 to 84 | 884 |
| Number Of Beneficiaries Age Greater 84 | 420 |
| Number Of Female Beneficiaries | 1544 |
| Number Of Male Beneficiaries | 1391 |
| Number Of Non Hispanic White Beneficiaries | 1704 |
| Number Of Black or African American Beneficiaries | 53 |
| Number Of AsianPacific Islander Beneficiaries | 87 |
| Number Of Hispanic Beneficiaries | 1036 |
| Number Of American Indian Alaska Native Beneficiaries | 29 |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1451 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1484 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 49 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 52 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9647 |