| National Provider Identifier [NPI]: | 1538156633 |
| Last Name Of The Provider | PRABHU |
| First Name Of The Provider | RACHAKONDA |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5701 W. CHARLESTON BLVD. |
| Street Address 2 Of The Provider | SUITE100 |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 89146 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pulmonary Disease |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 118 |
| Number Of Services | 12730 |
| Number Of Medicare Beneficiaries | 1413 |
| Total Submitted Charge Amount | 2150591 |
| Total Medicare Allowed Amount | 991729.73 |
| Total Medicare Payment Amount | 730592.08 |
| Total Medicare Standardized Payment Amount | 741211.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 18 |
| Number Of Drug Services | 860 |
| Number Of Medicare Beneficiaries With Drug Services | 204 |
| Total Drug Submitted ChargeAmount | 18567 |
| Total Drug Medicare AllowedAmount | 12220.86 |
| Total Drug Medicare PaymentAmount | 11639.49 |
| Total Drug Medicare Standardized Payment Amount | 11639.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 100 |
| Number Of Medical Services | 11870 |
| Number Of Medicare Beneficiaries With Medical Services | 1411 |
| Total Medical Submitted Charge Amount | 2132024 |
| Total Medical Medicare Allowed Amount | 979508.87 |
| Total Medical Medicare Payment Amount | 718952.59 |
| Total Medical Medicare Standardized Payment Amount | 729572.19 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 406 |
| Number Of Beneficiaries Age 65 to 74 | 605 |
| Number Of Beneficiaries Age 75 to 84 | 316 |
| Number Of Beneficiaries Age Greater 84 | 86 |
| Number Of Female Beneficiaries | 715 |
| Number Of Male Beneficiaries | 698 |
| Number Of Non Hispanic White Beneficiaries | 778 |
| Number Of Black or African American Beneficiaries | 316 |
| Number Of AsianPacific Islander Beneficiaries | 65 |
| Number Of Hispanic Beneficiaries | 230 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 911 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 502 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 20 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 37 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6797 |