| National Provider Identifier [NPI]: | 1730276742 |
| Last Name Of The Provider | UPPULURI |
| First Name Of The Provider | VENKATA |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 17901 GOVERNORS HWY |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | HOMEWOOD |
| Zip Code Of The Provider | 604301144 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 100 |
| Number Of Services | 7177 |
| Number Of Medicare Beneficiaries | 1201 |
| Total Submitted Charge Amount | 1215283 |
| Total Medicare Allowed Amount | 444526.26 |
| Total Medicare Payment Amount | 331844.91 |
| Total Medicare Standardized Payment Amount | 317349.32 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 8 |
| Number Of Drug Services | 4235 |
| Number Of Medicare Beneficiaries With Drug Services | 88 |
| Total Drug Submitted ChargeAmount | 401286 |
| Total Drug Medicare AllowedAmount | 135719.86 |
| Total Drug Medicare PaymentAmount | 105911.86 |
| Total Drug Medicare Standardized Payment Amount | 105911.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 92 |
| Number Of Medical Services | 2942 |
| Number Of Medicare Beneficiaries With Medical Services | 1201 |
| Total Medical Submitted Charge Amount | 813997 |
| Total Medical Medicare Allowed Amount | 308806.4 |
| Total Medical Medicare Payment Amount | 225933.05 |
| Total Medical Medicare Standardized Payment Amount | 211437.46 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 123 |
| Number Of Beneficiaries Age 65 to 74 | 471 |
| Number Of Beneficiaries Age 75 to 84 | 433 |
| Number Of Beneficiaries Age Greater 84 | 174 |
| Number Of Female Beneficiaries | 234 |
| Number Of Male Beneficiaries | 967 |
| Number Of Non Hispanic White Beneficiaries | 588 |
| Number Of Black or African American Beneficiaries | 552 |
| Number Of AsianPacific Islander Beneficiaries | 11 |
| Number Of Hispanic Beneficiaries | 37 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 13 |
| Number Of Beneficiaries With Medicare Only Entitlement | 984 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 217 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 29 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 3 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4609 |