National Provider Identifier [NPI]: |
1841251006 |
Last Name Of The Provider |
KAKARLA |
First Name Of The Provider |
RAJENDRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3920 SOUTHLAND RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BREMEN |
Zip Code Of The Provider |
45869 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
10138 |
Number Of Medicare Beneficiaries |
2532 |
Total Submitted Charge Amount |
1024146 |
Total Medicare Allowed Amount |
652884.19 |
Total Medicare Payment Amount |
480880.73 |
Total Medicare Standardized Payment Amount |
470339.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
420 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
31500 |
Total Drug Medicare AllowedAmount |
22236.01 |
Total Drug Medicare PaymentAmount |
17373.88 |
Total Drug Medicare Standardized Payment Amount |
17373.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
9718 |
Number Of Medicare Beneficiaries With Medical Services |
2532 |
Total Medical Submitted Charge Amount |
992646 |
Total Medical Medicare Allowed Amount |
630648.18 |
Total Medical Medicare Payment Amount |
463506.85 |
Total Medical Medicare Standardized Payment Amount |
452965.7 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
826 |
Number Of Beneficiaries Age 75 to 84 |
777 |
Number Of Beneficiaries Age Greater 84 |
620 |
Number Of Female Beneficiaries |
1407 |
Number Of Male Beneficiaries |
1125 |
Number Of Non Hispanic White Beneficiaries |
2478 |
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 |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
401 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3113 |