National Provider Identifier [NPI]: |
1952591059 |
Last Name Of The Provider |
MADDUKURI |
First Name Of The Provider |
SRIREKHA |
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 |
1305 AIRPORT FWY |
Street Address 2 Of The Provider |
STE 205 |
City Of The Provider |
BEDFORD |
Zip Code Of The Provider |
760216605 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
6369 |
Number Of Medicare Beneficiaries |
211 |
Total Submitted Charge Amount |
287816.86 |
Total Medicare Allowed Amount |
161470.02 |
Total Medicare Payment Amount |
122471.62 |
Total Medicare Standardized Payment Amount |
123373.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
5814 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
163268.86 |
Total Drug Medicare AllowedAmount |
82162.72 |
Total Drug Medicare PaymentAmount |
62909.76 |
Total Drug Medicare Standardized Payment Amount |
62909.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
555 |
Number Of Medicare Beneficiaries With Medical Services |
209 |
Total Medical Submitted Charge Amount |
124548 |
Total Medical Medicare Allowed Amount |
79307.3 |
Total Medical Medicare Payment Amount |
59561.86 |
Total Medical Medicare Standardized Payment Amount |
60463.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
130 |
Number Of Male Beneficiaries |
81 |
Number Of Non Hispanic White Beneficiaries |
182 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
195 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.3743 |