| National Provider Identifier [NPI]: | 1871607796 |
| Last Name Of The Provider | CHANDRAMOULI |
| First Name Of The Provider | B |
| Middle Initial Of The Provider | V |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1555 EAST ST |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | REDDING |
| Zip Code Of The Provider | 96001 |
| 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 | 83 |
| Number Of Services | 24130 |
| Number Of Medicare Beneficiaries | 3375 |
| Total Submitted Charge Amount | 5039014 |
| Total Medicare Allowed Amount | 2646796.54 |
| Total Medicare Payment Amount | 2009475.55 |
| Total Medicare Standardized Payment Amount | 1919727.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1760 |
| Number Of Medicare Beneficiaries With Drug Services | 437 |
| Total Drug Submitted ChargeAmount | 114080 |
| Total Drug Medicare AllowedAmount | 92802.3 |
| Total Drug Medicare PaymentAmount | 72485.38 |
| Total Drug Medicare Standardized Payment Amount | 72485.38 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 81 |
| Number Of Medical Services | 22370 |
| Number Of Medicare Beneficiaries With Medical Services | 3375 |
| Total Medical Submitted Charge Amount | 4924934 |
| Total Medical Medicare Allowed Amount | 2553994.24 |
| Total Medical Medicare Payment Amount | 1936990.17 |
| Total Medical Medicare Standardized Payment Amount | 1847242.27 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 375 |
| Number Of Beneficiaries Age 65 to 74 | 1254 |
| Number Of Beneficiaries Age 75 to 84 | 1128 |
| Number Of Beneficiaries Age Greater 84 | 618 |
| Number Of Female Beneficiaries | 1735 |
| Number Of Male Beneficiaries | 1640 |
| Number Of Non Hispanic White Beneficiaries | 3131 |
| Number Of Black or African American Beneficiaries | 25 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 98 |
| Number Of American Indian Alaska Native Beneficiaries | 68 |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2629 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 746 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4783 |