| National Provider Identifier [NPI]: | 1649224387 |
| Last Name Of The Provider | PALAKODETI |
| First Name Of The Provider | VACHASPATHI |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 516 WEST ATEN ROAD |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | IMPERIAL |
| Zip Code Of The Provider | 92251 |
| 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 | 97 |
| Number Of Services | 41217.1 |
| Number Of Medicare Beneficiaries | 4187 |
| Total Submitted Charge Amount | 5113604.3 |
| Total Medicare Allowed Amount | 2272367.26 |
| Total Medicare Payment Amount | 1705118.95 |
| Total Medicare Standardized Payment Amount | 1637775.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 16480.1 |
| Number Of Medicare Beneficiaries With Drug Services | 589 |
| Total Drug Submitted ChargeAmount | 263490.2 |
| Total Drug Medicare AllowedAmount | 117229.57 |
| Total Drug Medicare PaymentAmount | 91373.33 |
| Total Drug Medicare Standardized Payment Amount | 91373.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 24737 |
| Number Of Medicare Beneficiaries With Medical Services | 4187 |
| Total Medical Submitted Charge Amount | 4850114.1 |
| Total Medical Medicare Allowed Amount | 2155137.69 |
| Total Medical Medicare Payment Amount | 1613745.62 |
| Total Medical Medicare Standardized Payment Amount | 1546402.19 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 548 |
| Number Of Beneficiaries Age 65 to 74 | 1499 |
| Number Of Beneficiaries Age 75 to 84 | 1416 |
| Number Of Beneficiaries Age Greater 84 | 724 |
| Number Of Female Beneficiaries | 2184 |
| Number Of Male Beneficiaries | 2003 |
| Number Of Non Hispanic White Beneficiaries | 937 |
| Number Of Black or African American Beneficiaries | 62 |
| Number Of AsianPacific Islander Beneficiaries | 45 |
| Number Of Hispanic Beneficiaries | 3109 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1504 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2683 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 56 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.9029 |