| National Provider Identifier [NPI]: | 1659573640 |
| Last Name Of The Provider | TELANG |
| First Name Of The Provider | PAVAN |
| 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 | 541 W COLLEGE ST |
| Street Address 2 Of The Provider | SUITE 2000 , COLLINS MEDICAL OFFICE BLDG |
| City Of The Provider | FLORENCE |
| Zip Code Of The Provider | 356305323 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Anesthesiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 79 |
| Number Of Services | 10195 |
| Number Of Medicare Beneficiaries | 732 |
| Total Submitted Charge Amount | 2105318.07 |
| Total Medicare Allowed Amount | 693801.34 |
| Total Medicare Payment Amount | 530364.34 |
| Total Medicare Standardized Payment Amount | 525932.44 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 5092 |
| Number Of Medicare Beneficiaries With Drug Services | 411 |
| Total Drug Submitted ChargeAmount | 132930 |
| Total Drug Medicare AllowedAmount | 9450.77 |
| Total Drug Medicare PaymentAmount | 7280.51 |
| Total Drug Medicare Standardized Payment Amount | 7280.51 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 74 |
| Number Of Medical Services | 5103 |
| Number Of Medicare Beneficiaries With Medical Services | 732 |
| Total Medical Submitted Charge Amount | 1972388.07 |
| Total Medical Medicare Allowed Amount | 684350.57 |
| Total Medical Medicare Payment Amount | 523083.83 |
| Total Medical Medicare Standardized Payment Amount | 518651.93 |
| Average Age Of Beneficiaries | 66 |
| Number Of Beneficiaries Age Less65 | 300 |
| Number Of Beneficiaries Age 65 to 74 | 219 |
| Number Of Beneficiaries Age 75 to 84 | 166 |
| Number Of Beneficiaries Age Greater 84 | 47 |
| Number Of Female Beneficiaries | 432 |
| Number Of Male Beneficiaries | 300 |
| Number Of Non Hispanic White Beneficiaries | 642 |
| Number Of Black or African American Beneficiaries | |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 492 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 240 |
| Percent Of With Atrial Fibrillation | 8 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 72 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.3635 |