National Provider Identifier [NPI]: |
1548375660 |
Last Name Of The Provider |
NADELLA |
First Name Of The Provider |
PADMA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1240 JESSE JEWELL PARKWAY |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013862 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
210 |
Number Of Services |
107577 |
Number Of Medicare Beneficiaries |
569 |
Total Submitted Charge Amount |
5308989 |
Total Medicare Allowed Amount |
1907556.76 |
Total Medicare Payment Amount |
1494046.33 |
Total Medicare Standardized Payment Amount |
1511879.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
98674 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
4167231 |
Total Drug Medicare AllowedAmount |
1547855.76 |
Total Drug Medicare PaymentAmount |
1212255.31 |
Total Drug Medicare Standardized Payment Amount |
1212255.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
8903 |
Number Of Medicare Beneficiaries With Medical Services |
567 |
Total Medical Submitted Charge Amount |
1141758 |
Total Medical Medicare Allowed Amount |
359701 |
Total Medical Medicare Payment Amount |
281791.02 |
Total Medical Medicare Standardized Payment Amount |
299624.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
544 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8193 |