National Provider Identifier [NPI]: |
1316127319 |
Last Name Of The Provider |
YALAMANCHILI |
First Name Of The Provider |
RAJ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 UPPER CHESAPEAKE DR |
Street Address 2 Of The Provider |
SUITE 417 |
City Of The Provider |
BEL AIR |
Zip Code Of The Provider |
210144328 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
3771 |
Number Of Medicare Beneficiaries |
489 |
Total Submitted Charge Amount |
555107 |
Total Medicare Allowed Amount |
270043.99 |
Total Medicare Payment Amount |
206405.49 |
Total Medicare Standardized Payment Amount |
194599.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2025 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
37284 |
Total Drug Medicare AllowedAmount |
18317.32 |
Total Drug Medicare PaymentAmount |
14334.2 |
Total Drug Medicare Standardized Payment Amount |
14334.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
1746 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
517823 |
Total Medical Medicare Allowed Amount |
251726.67 |
Total Medical Medicare Payment Amount |
192071.29 |
Total Medical Medicare Standardized Payment Amount |
180265.33 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
307 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
430 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.507 |