National Provider Identifier [NPI]: |
1487658464 |
Last Name Of The Provider |
KULANGARA |
First Name Of The Provider |
SARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2901 TELESTAR CT |
Street Address 2 Of The Provider |
#200 |
City Of The Provider |
FALLS CHURCH |
Zip Code Of The Provider |
220421260 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
4280 |
Number Of Medicare Beneficiaries |
1554 |
Total Submitted Charge Amount |
1010883.03 |
Total Medicare Allowed Amount |
445646.03 |
Total Medicare Payment Amount |
331282.65 |
Total Medicare Standardized Payment Amount |
325800.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
812 |
Number Of Medicare Beneficiaries With Drug Services |
203 |
Total Drug Submitted ChargeAmount |
42558 |
Total Drug Medicare AllowedAmount |
41876.45 |
Total Drug Medicare PaymentAmount |
31693.22 |
Total Drug Medicare Standardized Payment Amount |
31693.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3468 |
Number Of Medicare Beneficiaries With Medical Services |
1553 |
Total Medical Submitted Charge Amount |
968325.03 |
Total Medical Medicare Allowed Amount |
403769.58 |
Total Medical Medicare Payment Amount |
299589.43 |
Total Medical Medicare Standardized Payment Amount |
294106.99 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
569 |
Number Of Beneficiaries Age Greater 84 |
279 |
Number Of Female Beneficiaries |
772 |
Number Of Male Beneficiaries |
782 |
Number Of Non Hispanic White Beneficiaries |
1269 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
105 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1386 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
168 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4126 |