National Provider Identifier [NPI]: |
1306845862 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD STE 130 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515649 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
8747 |
Number Of Medicare Beneficiaries |
3181 |
Total Submitted Charge Amount |
1180252 |
Total Medicare Allowed Amount |
366151.95 |
Total Medicare Payment Amount |
315998.18 |
Total Medicare Standardized Payment Amount |
320093.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2523 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
5046 |
Total Drug Medicare AllowedAmount |
1031.32 |
Total Drug Medicare PaymentAmount |
808.56 |
Total Drug Medicare Standardized Payment Amount |
808.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
6224 |
Number Of Medicare Beneficiaries With Medical Services |
3181 |
Total Medical Submitted Charge Amount |
1175206 |
Total Medical Medicare Allowed Amount |
365120.63 |
Total Medical Medicare Payment Amount |
315189.62 |
Total Medical Medicare Standardized Payment Amount |
319285.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
1714 |
Number Of Beneficiaries Age 75 to 84 |
936 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
2514 |
Number Of Male Beneficiaries |
667 |
Number Of Non Hispanic White Beneficiaries |
2929 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
29 |
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
3014 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1038 |