National Provider Identifier [NPI]: |
1083639942 |
Last Name Of The Provider |
VISWANATH |
First Name Of The Provider |
TALANKI |
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 |
15130 LEVAN RD STE 30 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LIVONIA |
Zip Code Of The Provider |
481545027 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
163 |
Number Of Services |
25507 |
Number Of Medicare Beneficiaries |
923 |
Total Submitted Charge Amount |
1182684.25 |
Total Medicare Allowed Amount |
766099.46 |
Total Medicare Payment Amount |
594363.33 |
Total Medicare Standardized Payment Amount |
581599.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
10998 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
69194.25 |
Total Drug Medicare AllowedAmount |
51071.23 |
Total Drug Medicare PaymentAmount |
40361.15 |
Total Drug Medicare Standardized Payment Amount |
40361.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
14509 |
Number Of Medicare Beneficiaries With Medical Services |
923 |
Total Medical Submitted Charge Amount |
1113490 |
Total Medical Medicare Allowed Amount |
715028.23 |
Total Medical Medicare Payment Amount |
554002.18 |
Total Medical Medicare Standardized Payment Amount |
541238.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
484 |
Number Of Male Beneficiaries |
439 |
Number Of Non Hispanic White Beneficiaries |
710 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
762 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
66 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.4229 |