National Provider Identifier [NPI]: |
1376506253 |
Last Name Of The Provider |
GUNIGANTI |
First Name Of The Provider |
UMA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1127 E OWEN K GARRIOTT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENID |
Zip Code Of The Provider |
737016151 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
65895.5 |
Number Of Medicare Beneficiaries |
2722 |
Total Submitted Charge Amount |
3248547.21 |
Total Medicare Allowed Amount |
1762579.8 |
Total Medicare Payment Amount |
1317355.13 |
Total Medicare Standardized Payment Amount |
1428161.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
46144.5 |
Number Of Medicare Beneficiaries With Drug Services |
558 |
Total Drug Submitted ChargeAmount |
319452 |
Total Drug Medicare AllowedAmount |
137322.12 |
Total Drug Medicare PaymentAmount |
106130.21 |
Total Drug Medicare Standardized Payment Amount |
106130.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
19751 |
Number Of Medicare Beneficiaries With Medical Services |
2722 |
Total Medical Submitted Charge Amount |
2929095.21 |
Total Medical Medicare Allowed Amount |
1625257.68 |
Total Medical Medicare Payment Amount |
1211224.92 |
Total Medical Medicare Standardized Payment Amount |
1322031.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
233 |
Number Of Beneficiaries Age 65 to 74 |
878 |
Number Of Beneficiaries Age 75 to 84 |
1032 |
Number Of Beneficiaries Age Greater 84 |
579 |
Number Of Female Beneficiaries |
1502 |
Number Of Male Beneficiaries |
1220 |
Number Of Non Hispanic White Beneficiaries |
2593 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
43 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
365 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.446 |