National Provider Identifier [NPI]: |
1265406607 |
Last Name Of The Provider |
YELLINEDI |
First Name Of The Provider |
SUJATHA |
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 |
34 MEDICAL PARK BLVD STE G |
Street Address 2 Of The Provider |
SUITE # G |
City Of The Provider |
PETERSBURG |
Zip Code Of The Provider |
238059283 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
88184 |
Number Of Medicare Beneficiaries |
478 |
Total Submitted Charge Amount |
2825332 |
Total Medicare Allowed Amount |
1103056.09 |
Total Medicare Payment Amount |
865257.04 |
Total Medicare Standardized Payment Amount |
858361.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
48 |
Number Of Drug Services |
80622 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
2100167 |
Total Drug Medicare AllowedAmount |
805041.99 |
Total Drug Medicare PaymentAmount |
630553.8 |
Total Drug Medicare Standardized Payment Amount |
630553.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
7562 |
Number Of Medicare Beneficiaries With Medical Services |
478 |
Total Medical Submitted Charge Amount |
725165 |
Total Medical Medicare Allowed Amount |
298014.1 |
Total Medical Medicare Payment Amount |
234703.24 |
Total Medical Medicare Standardized Payment Amount |
227808.16 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
183 |
Number Of Black or African American Beneficiaries |
278 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2018 |