National Provider Identifier [NPI]: |
1649440744 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
SRIKANTH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4721 DALLAS RANCH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANTIOCH |
Zip Code Of The Provider |
945318811 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
22638 |
Number Of Medicare Beneficiaries |
260 |
Total Submitted Charge Amount |
1436335.08 |
Total Medicare Allowed Amount |
463850.48 |
Total Medicare Payment Amount |
363379.68 |
Total Medicare Standardized Payment Amount |
347925.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
47 |
Number Of Drug Services |
20084 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
959355.32 |
Total Drug Medicare AllowedAmount |
307204.9 |
Total Drug Medicare PaymentAmount |
240475.29 |
Total Drug Medicare Standardized Payment Amount |
240475.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2554 |
Number Of Medicare Beneficiaries With Medical Services |
260 |
Total Medical Submitted Charge Amount |
476979.76 |
Total Medical Medicare Allowed Amount |
156645.58 |
Total Medical Medicare Payment Amount |
122904.39 |
Total Medical Medicare Standardized Payment Amount |
107449.76 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
130 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
37 |
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 |
152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.6536 |