National Provider Identifier [NPI]: |
1447246699 |
Last Name Of The Provider |
NARALA |
First Name Of The Provider |
MADHAVA |
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 |
568 E HERNDON AVE |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937202989 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1743 |
Number Of Medicare Beneficiaries |
469 |
Total Submitted Charge Amount |
189621.08 |
Total Medicare Allowed Amount |
151235.14 |
Total Medicare Payment Amount |
104711.9 |
Total Medicare Standardized Payment Amount |
110133.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
4440 |
Total Drug Medicare AllowedAmount |
2141.74 |
Total Drug Medicare PaymentAmount |
2098.48 |
Total Drug Medicare Standardized Payment Amount |
2098.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1667 |
Number Of Medicare Beneficiaries With Medical Services |
469 |
Total Medical Submitted Charge Amount |
185181.08 |
Total Medical Medicare Allowed Amount |
149093.4 |
Total Medical Medicare Payment Amount |
102613.42 |
Total Medical Medicare Standardized Payment Amount |
108035.19 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
180 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
65 |
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
94 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
375 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2075 |