National Provider Identifier [NPI]: |
1750492872 |
Last Name Of The Provider |
YELAMANCHILI |
First Name Of The Provider |
KAMLESH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16017 TUSCOLA RD STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
APPLE VALLEY |
Zip Code Of The Provider |
923071317 |
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 |
66 |
Number Of Services |
6666 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
767562 |
Total Medicare Allowed Amount |
357485.62 |
Total Medicare Payment Amount |
265609.34 |
Total Medicare Standardized Payment Amount |
259657.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4078 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
44850 |
Total Drug Medicare AllowedAmount |
13168.69 |
Total Drug Medicare PaymentAmount |
10727.5 |
Total Drug Medicare Standardized Payment Amount |
10727.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2588 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
722712 |
Total Medical Medicare Allowed Amount |
344316.93 |
Total Medical Medicare Payment Amount |
254881.84 |
Total Medical Medicare Standardized Payment Amount |
248930.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
242 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8772 |