National Provider Identifier [NPI]: |
1831100015 |
Last Name Of The Provider |
VELAGAPUDI |
First Name Of The Provider |
SATISH |
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 |
1818 CAREW ST |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
FORT WAYNE |
Zip Code Of The Provider |
468054788 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
5122 |
Number Of Medicare Beneficiaries |
783 |
Total Submitted Charge Amount |
992795 |
Total Medicare Allowed Amount |
251884.86 |
Total Medicare Payment Amount |
187233.04 |
Total Medicare Standardized Payment Amount |
198531.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2135 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
128684 |
Total Drug Medicare AllowedAmount |
42357.5 |
Total Drug Medicare PaymentAmount |
33190.33 |
Total Drug Medicare Standardized Payment Amount |
33190.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
2987 |
Number Of Medicare Beneficiaries With Medical Services |
783 |
Total Medical Submitted Charge Amount |
864111 |
Total Medical Medicare Allowed Amount |
209527.36 |
Total Medical Medicare Payment Amount |
154042.71 |
Total Medical Medicare Standardized Payment Amount |
165341.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
713 |
Number Of Black or African American Beneficiaries |
45 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
664 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3942 |