National Provider Identifier [NPI]: |
1467659599 |
Last Name Of The Provider |
NERELLA |
First Name Of The Provider |
NISHANT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
308 W HIGHLAND BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
INVERNESS |
Zip Code Of The Provider |
344524716 |
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 |
66 |
Number Of Services |
7511 |
Number Of Medicare Beneficiaries |
1365 |
Total Submitted Charge Amount |
1779557 |
Total Medicare Allowed Amount |
762590.95 |
Total Medicare Payment Amount |
583378.62 |
Total Medicare Standardized Payment Amount |
588154.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
566 |
Number Of Medicare Beneficiaries With Drug Services |
164 |
Total Drug Submitted ChargeAmount |
64524 |
Total Drug Medicare AllowedAmount |
29957.04 |
Total Drug Medicare PaymentAmount |
23486.01 |
Total Drug Medicare Standardized Payment Amount |
23486.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
6945 |
Number Of Medicare Beneficiaries With Medical Services |
1365 |
Total Medical Submitted Charge Amount |
1715033 |
Total Medical Medicare Allowed Amount |
732633.91 |
Total Medical Medicare Payment Amount |
559892.61 |
Total Medical Medicare Standardized Payment Amount |
564668.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
550 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
722 |
Number Of Non Hispanic White Beneficiaries |
1277 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1177 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5618 |