National Provider Identifier [NPI]: |
1225022866 |
Last Name Of The Provider |
YELAMANCHILI |
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 |
4007 GATEWAY BLVD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
NEWBURGH |
Zip Code Of The Provider |
476308947 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4043 |
Number Of Medicare Beneficiaries |
1402 |
Total Submitted Charge Amount |
1441809.82 |
Total Medicare Allowed Amount |
451126.37 |
Total Medicare Payment Amount |
334922.08 |
Total Medicare Standardized Payment Amount |
356278.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
338 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
56295 |
Total Drug Medicare AllowedAmount |
17781.59 |
Total Drug Medicare PaymentAmount |
13182.98 |
Total Drug Medicare Standardized Payment Amount |
13182.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
3705 |
Number Of Medicare Beneficiaries With Medical Services |
1402 |
Total Medical Submitted Charge Amount |
1385514.82 |
Total Medical Medicare Allowed Amount |
433344.78 |
Total Medical Medicare Payment Amount |
321739.1 |
Total Medical Medicare Standardized Payment Amount |
343095.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
715 |
Number Of Male Beneficiaries |
687 |
Number Of Non Hispanic White Beneficiaries |
1334 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1119 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5501 |