| National Provider Identifier [NPI]: | 1760477269 |
| Last Name Of The Provider | CHALASANI |
| First Name Of The Provider | PRASAD |
| 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 | 1900 NEBRASKA AVENUE |
| Street Address 2 Of The Provider | SUITE 9 |
| City Of The Provider | FORT PIERCE |
| Zip Code Of The Provider | 349504837 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 115 |
| Number Of Services | 39928 |
| Number Of Medicare Beneficiaries | 3108 |
| Total Submitted Charge Amount | 7711904.33 |
| Total Medicare Allowed Amount | 2185102.38 |
| Total Medicare Payment Amount | 1669672.3 |
| Total Medicare Standardized Payment Amount | 1572082.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 19758 |
| Number Of Medicare Beneficiaries With Drug Services | 689 |
| Total Drug Submitted ChargeAmount | 277690.5 |
| Total Drug Medicare AllowedAmount | 8499.35 |
| Total Drug Medicare PaymentAmount | 6563.68 |
| Total Drug Medicare Standardized Payment Amount | 6563.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 111 |
| Number Of Medical Services | 20170 |
| Number Of Medicare Beneficiaries With Medical Services | 3108 |
| Total Medical Submitted Charge Amount | 7434213.83 |
| Total Medical Medicare Allowed Amount | 2176603.03 |
| Total Medical Medicare Payment Amount | 1663108.62 |
| Total Medical Medicare Standardized Payment Amount | 1565518.78 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 385 |
| Number Of Beneficiaries Age 65 to 74 | 1046 |
| Number Of Beneficiaries Age 75 to 84 | 1138 |
| Number Of Beneficiaries Age Greater 84 | 539 |
| Number Of Female Beneficiaries | 1493 |
| Number Of Male Beneficiaries | 1615 |
| Number Of Non Hispanic White Beneficiaries | 2529 |
| Number Of Black or African American Beneficiaries | 326 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 170 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 42 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2499 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 609 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.9388 |