National Provider Identifier [NPI]: |
1891724449 |
Last Name Of The Provider |
PALACHARLA |
First Name Of The Provider |
SRINADH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3606 HIGHLANDS PKWY SE |
Street Address 2 Of The Provider |
BUILDING #1 |
City Of The Provider |
SMYRNA |
Zip Code Of The Provider |
300825184 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
2214 |
Number Of Medicare Beneficiaries |
436 |
Total Submitted Charge Amount |
375792 |
Total Medicare Allowed Amount |
288088.49 |
Total Medicare Payment Amount |
220368.67 |
Total Medicare Standardized Payment Amount |
211046.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
182 |
Total Drug Medicare AllowedAmount |
182 |
Total Drug Medicare PaymentAmount |
178.36 |
Total Drug Medicare Standardized Payment Amount |
178.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2201 |
Number Of Medicare Beneficiaries With Medical Services |
436 |
Total Medical Submitted Charge Amount |
375610 |
Total Medical Medicare Allowed Amount |
287906.49 |
Total Medical Medicare Payment Amount |
220190.31 |
Total Medical Medicare Standardized Payment Amount |
210868.08 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
108 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
229 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
215 |
Number Of Black or African American Beneficiaries |
196 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
269 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
4.5135 |