National Provider Identifier [NPI]: |
1750619565 |
Last Name Of The Provider |
KOLLI |
First Name Of The Provider |
RAJYALAKSHMI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10500 SPRING HILL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRING HILL |
Zip Code Of The Provider |
346085046 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4112 |
Number Of Medicare Beneficiaries |
758 |
Total Submitted Charge Amount |
352893.2 |
Total Medicare Allowed Amount |
351166.5 |
Total Medicare Payment Amount |
271932.98 |
Total Medicare Standardized Payment Amount |
270473.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
1470 |
Total Drug Medicare AllowedAmount |
338.17 |
Total Drug Medicare PaymentAmount |
325.65 |
Total Drug Medicare Standardized Payment Amount |
325.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4077 |
Number Of Medicare Beneficiaries With Medical Services |
758 |
Total Medical Submitted Charge Amount |
351423.2 |
Total Medical Medicare Allowed Amount |
350828.33 |
Total Medical Medicare Payment Amount |
271607.33 |
Total Medical Medicare Standardized Payment Amount |
270148.27 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
224 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
677 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
576 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
182 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0594 |