National Provider Identifier [NPI]: |
1659303980 |
Last Name Of The Provider |
VEMURI |
First Name Of The Provider |
NIRUPAMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
557 W MORTON AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
932573333 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
9847 |
Number Of Medicare Beneficiaries |
1018 |
Total Submitted Charge Amount |
1182258.21 |
Total Medicare Allowed Amount |
915945.45 |
Total Medicare Payment Amount |
695727.07 |
Total Medicare Standardized Payment Amount |
675274.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1356 |
Number Of Medicare Beneficiaries With Drug Services |
452 |
Total Drug Submitted ChargeAmount |
20225.02 |
Total Drug Medicare AllowedAmount |
10920.87 |
Total Drug Medicare PaymentAmount |
10217.74 |
Total Drug Medicare Standardized Payment Amount |
10217.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
8491 |
Number Of Medicare Beneficiaries With Medical Services |
1018 |
Total Medical Submitted Charge Amount |
1162033.19 |
Total Medical Medicare Allowed Amount |
905024.58 |
Total Medical Medicare Payment Amount |
685509.33 |
Total Medical Medicare Standardized Payment Amount |
665056.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
317 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
305 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
663 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9361 |