National Provider Identifier [NPI]: |
1063452803 |
Last Name Of The Provider |
SREEPADA |
First Name Of The Provider |
PAPAIAH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1001 E PRIMROSE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
658075155 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
2993 |
Number Of Medicare Beneficiaries |
607 |
Total Submitted Charge Amount |
247565 |
Total Medicare Allowed Amount |
124152.84 |
Total Medicare Payment Amount |
89481.89 |
Total Medicare Standardized Payment Amount |
96207.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1638 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
61373 |
Total Drug Medicare AllowedAmount |
24982.47 |
Total Drug Medicare PaymentAmount |
18744.92 |
Total Drug Medicare Standardized Payment Amount |
18744.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
1355 |
Number Of Medicare Beneficiaries With Medical Services |
607 |
Total Medical Submitted Charge Amount |
186192 |
Total Medical Medicare Allowed Amount |
99170.37 |
Total Medical Medicare Payment Amount |
70736.97 |
Total Medical Medicare Standardized Payment Amount |
77463.06 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
589 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.3719 |