Medicare Facts for Dr. Prashanth Adapala, MD


National Provider Identifier [NPI]: 1740484336
Last Name Of The Provider ADAPALA
First Name Of The Provider PRASHANTH
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 800 W HIGHWAY 71
Street Address 2 Of The Provider
City Of The Provider MARBLE FALLS
Zip Code Of The Provider 786548602
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 87
Number Of Services 19549
Number Of Medicare Beneficiaries 317
Total Submitted Charge Amount 317567.64
Total Medicare Allowed Amount 252609.91
Total Medicare Payment Amount 188603.46
Total Medicare Standardized Payment Amount 190184.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 28
Number Of Drug Services 18026
Number Of Medicare Beneficiaries With Drug Services 42
Total Drug Submitted ChargeAmount 189472.43
Total Drug Medicare AllowedAmount 182117.33
Total Drug Medicare PaymentAmount 138373.79
Total Drug Medicare Standardized Payment Amount 138373.79
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 59
Number Of Medical Services 1523
Number Of Medicare Beneficiaries With Medical Services 317
Total Medical Submitted Charge Amount 128095.21
Total Medical Medicare Allowed Amount 70492.58
Total Medical Medicare Payment Amount 50229.67
Total Medical Medicare Standardized Payment Amount 51811.12
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 129
Number Of Beneficiaries Age 75 to 84 112
Number Of Beneficiaries Age Greater 84 40
Number Of Female Beneficiaries 173
Number Of Male Beneficiaries 144
Number Of Non Hispanic White Beneficiaries 261
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 27
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 273
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer 28
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 16
Percent Of With Depression 25
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.5437

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