| National Provider Identifier [NPI]: | 1093722019 |
| Last Name Of The Provider | ACHARYA |
| First Name Of The Provider | SIDDHARTHA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 6807 EMMETT F LOWRY EXPRESSWAY |
| Street Address 2 Of The Provider | SUITE 108 |
| City Of The Provider | TEXAS CITY |
| Zip Code Of The Provider | 77591 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 128 |
| Number Of Services | 10553 |
| Number Of Medicare Beneficiaries | 1932 |
| Total Submitted Charge Amount | 2604647 |
| Total Medicare Allowed Amount | 846081.05 |
| Total Medicare Payment Amount | 643772.83 |
| Total Medicare Standardized Payment Amount | 645325.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 3256 |
| Number Of Medicare Beneficiaries With Drug Services | 148 |
| Total Drug Submitted ChargeAmount | 167625 |
| Total Drug Medicare AllowedAmount | 28084.96 |
| Total Drug Medicare PaymentAmount | 21465.04 |
| Total Drug Medicare Standardized Payment Amount | 21465.04 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 125 |
| Number Of Medical Services | 7297 |
| Number Of Medicare Beneficiaries With Medical Services | 1932 |
| Total Medical Submitted Charge Amount | 2437022 |
| Total Medical Medicare Allowed Amount | 817996.09 |
| Total Medical Medicare Payment Amount | 622307.79 |
| Total Medical Medicare Standardized Payment Amount | 623860.71 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 227 |
| Number Of Beneficiaries Age 65 to 74 | 737 |
| Number Of Beneficiaries Age 75 to 84 | 636 |
| Number Of Beneficiaries Age Greater 84 | 332 |
| Number Of Female Beneficiaries | 1078 |
| Number Of Male Beneficiaries | 854 |
| Number Of Non Hispanic White Beneficiaries | 1343 |
| Number Of Black or African American Beneficiaries | 376 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 184 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1568 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 364 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.9176 |