National Provider Identifier [NPI]: |
1679508485 |
Last Name Of The Provider |
BALAKRISHNAN |
First Name Of The Provider |
PALUR |
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 |
11914 ASTORIA BLVD |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770896064 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
8829 |
Number Of Medicare Beneficiaries |
1244 |
Total Submitted Charge Amount |
2031986 |
Total Medicare Allowed Amount |
404971.94 |
Total Medicare Payment Amount |
298625.69 |
Total Medicare Standardized Payment Amount |
300338.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3703 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
39261 |
Total Drug Medicare AllowedAmount |
9970.71 |
Total Drug Medicare PaymentAmount |
7797.24 |
Total Drug Medicare Standardized Payment Amount |
7797.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
5126 |
Number Of Medicare Beneficiaries With Medical Services |
1244 |
Total Medical Submitted Charge Amount |
1992725 |
Total Medical Medicare Allowed Amount |
395001.23 |
Total Medical Medicare Payment Amount |
290828.45 |
Total Medical Medicare Standardized Payment Amount |
292540.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
172 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
916 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
195 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
916 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
328 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8394 |