National Provider Identifier [NPI]: |
1184706343 |
Last Name Of The Provider |
EMANI |
First Name Of The Provider |
VENKATA |
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 |
1148 NORMAN DR |
Street Address 2 Of The Provider |
2 |
City Of The Provider |
MANTECA |
Zip Code Of The Provider |
953365961 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
7739 |
Number Of Medicare Beneficiaries |
1283 |
Total Submitted Charge Amount |
1639102.43 |
Total Medicare Allowed Amount |
738975.52 |
Total Medicare Payment Amount |
544431.01 |
Total Medicare Standardized Payment Amount |
526431.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1013 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
13051.43 |
Total Drug Medicare AllowedAmount |
968.96 |
Total Drug Medicare PaymentAmount |
745.68 |
Total Drug Medicare Standardized Payment Amount |
745.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6726 |
Number Of Medicare Beneficiaries With Medical Services |
1283 |
Total Medical Submitted Charge Amount |
1626051 |
Total Medical Medicare Allowed Amount |
738006.56 |
Total Medical Medicare Payment Amount |
543685.33 |
Total Medical Medicare Standardized Payment Amount |
525685.88 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
389 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
668 |
Number Of Male Beneficiaries |
615 |
Number Of Non Hispanic White Beneficiaries |
761 |
Number Of Black or African American Beneficiaries |
90 |
Number Of AsianPacific Islander Beneficiaries |
129 |
Number Of Hispanic Beneficiaries |
274 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
833 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
450 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5397 |