National Provider Identifier [NPI]: |
1083655427 |
Last Name Of The Provider |
JONNA |
First Name Of The Provider |
YADAGIRI |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
303 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLUFFTON |
Zip Code Of The Provider |
467142503 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5372 |
Number Of Medicare Beneficiaries |
799 |
Total Submitted Charge Amount |
601809 |
Total Medicare Allowed Amount |
400666.18 |
Total Medicare Payment Amount |
292076.32 |
Total Medicare Standardized Payment Amount |
280351.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
2499 |
Total Drug Medicare AllowedAmount |
2273.65 |
Total Drug Medicare PaymentAmount |
2227.94 |
Total Drug Medicare Standardized Payment Amount |
2227.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5285 |
Number Of Medicare Beneficiaries With Medical Services |
799 |
Total Medical Submitted Charge Amount |
599310 |
Total Medical Medicare Allowed Amount |
398392.53 |
Total Medical Medicare Payment Amount |
289848.38 |
Total Medical Medicare Standardized Payment Amount |
278123.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
754 |
Number Of Black or African American Beneficiaries |
27 |
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 |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
206 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4201 |