National Provider Identifier [NPI]: |
1285601872 |
Last Name Of The Provider |
GADDE |
First Name Of The Provider |
HARI |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 MADISON ST |
Street Address 2 Of The Provider |
L11 |
City Of The Provider |
JOLIET |
Zip Code Of The Provider |
604356569 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3479 |
Number Of Medicare Beneficiaries |
772 |
Total Submitted Charge Amount |
471375 |
Total Medicare Allowed Amount |
296289.6 |
Total Medicare Payment Amount |
229625.78 |
Total Medicare Standardized Payment Amount |
186578.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
1470 |
Total Drug Medicare AllowedAmount |
701.3 |
Total Drug Medicare PaymentAmount |
687.34 |
Total Drug Medicare Standardized Payment Amount |
687.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3430 |
Number Of Medicare Beneficiaries With Medical Services |
772 |
Total Medical Submitted Charge Amount |
469905 |
Total Medical Medicare Allowed Amount |
295588.3 |
Total Medical Medicare Payment Amount |
228938.44 |
Total Medical Medicare Standardized Payment Amount |
185891.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
448 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
608 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
542 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3247 |