National Provider Identifier [NPI]: |
1154510790 |
Last Name Of The Provider |
VEMULAPALLI |
First Name Of The Provider |
SUSHMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3327 RESEARCH PLZ |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782355155 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
79795 |
Number Of Medicare Beneficiaries |
309 |
Total Submitted Charge Amount |
3467129 |
Total Medicare Allowed Amount |
826497.65 |
Total Medicare Payment Amount |
649537.71 |
Total Medicare Standardized Payment Amount |
655381.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
72075 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
2666994 |
Total Drug Medicare AllowedAmount |
599642.85 |
Total Drug Medicare PaymentAmount |
468671.62 |
Total Drug Medicare Standardized Payment Amount |
468671.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
7720 |
Number Of Medicare Beneficiaries With Medical Services |
309 |
Total Medical Submitted Charge Amount |
800135 |
Total Medical Medicare Allowed Amount |
226854.8 |
Total Medical Medicare Payment Amount |
180866.09 |
Total Medical Medicare Standardized Payment Amount |
186709.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
228 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.2007 |