| National Provider Identifier [NPI]: | 1043291933 |
| Last Name Of The Provider | AMILINENI |
| First Name Of The Provider | VENKATA |
| 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 | 401 CYPRESS ST |
| Street Address 2 Of The Provider | # 110 |
| City Of The Provider | ABILENE |
| Zip Code Of The Provider | 796015122 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 157 |
| Number Of Services | 9940 |
| Number Of Medicare Beneficiaries | 5086 |
| Total Submitted Charge Amount | 850051 |
| Total Medicare Allowed Amount | 227682.99 |
| Total Medicare Payment Amount | 183775.35 |
| Total Medicare Standardized Payment Amount | 190874.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 9940 |
| Number Of Medicare Beneficiaries With Medical Services | 5086 |
| Total Medical Submitted Charge Amount | 850051 |
| Total Medical Medicare Allowed Amount | 227682.99 |
| Total Medical Medicare Payment Amount | 183775.35 |
| Total Medical Medicare Standardized Payment Amount | 190874.26 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 751 |
| Number Of Beneficiaries Age 65 to 74 | 2054 |
| Number Of Beneficiaries Age 75 to 84 | 1661 |
| Number Of Beneficiaries Age Greater 84 | 620 |
| Number Of Female Beneficiaries | 4107 |
| Number Of Male Beneficiaries | 979 |
| Number Of Non Hispanic White Beneficiaries | 4275 |
| Number Of Black or African American Beneficiaries | 217 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | 546 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3841 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1245 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 22 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 19 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 48 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 17 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.284 |