| National Provider Identifier [NPI]: | 1245367721 |
| Last Name Of The Provider | CHENNAREDDY |
| First Name Of The Provider | SRINIVASA |
| 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 | 1800 FAIRVIEW AVE |
| Street Address 2 Of The Provider | SUITE 1 |
| City Of The Provider | DOTHAN |
| Zip Code Of The Provider | 363013058 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 72 |
| Number Of Services | 6830 |
| Number Of Medicare Beneficiaries | 1853 |
| Total Submitted Charge Amount | 1426637 |
| Total Medicare Allowed Amount | 531840.15 |
| Total Medicare Payment Amount | 406750.3 |
| Total Medicare Standardized Payment Amount | 441574.84 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 440 |
| Number Of Medicare Beneficiaries With Drug Services | 107 |
| Total Drug Submitted ChargeAmount | 95902 |
| Total Drug Medicare AllowedAmount | 22639.17 |
| Total Drug Medicare PaymentAmount | 17580.42 |
| Total Drug Medicare Standardized Payment Amount | 17580.42 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 69 |
| Number Of Medical Services | 6390 |
| Number Of Medicare Beneficiaries With Medical Services | 1853 |
| Total Medical Submitted Charge Amount | 1330735 |
| Total Medical Medicare Allowed Amount | 509200.98 |
| Total Medical Medicare Payment Amount | 389169.88 |
| Total Medical Medicare Standardized Payment Amount | 423994.42 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 387 |
| Number Of Beneficiaries Age 65 to 74 | 745 |
| Number Of Beneficiaries Age 75 to 84 | 515 |
| Number Of Beneficiaries Age Greater 84 | 206 |
| Number Of Female Beneficiaries | 1027 |
| Number Of Male Beneficiaries | 826 |
| Number Of Non Hispanic White Beneficiaries | 1323 |
| Number Of Black or African American Beneficiaries | 491 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| 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 | 1226 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 627 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 37 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 65 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6432 |