National Provider Identifier [NPI]: |
1588636443 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 LAKELAND HILLS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKELAND |
Zip Code Of The Provider |
33805 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
5808 |
Number Of Medicare Beneficiaries |
1993 |
Total Submitted Charge Amount |
1588169 |
Total Medicare Allowed Amount |
669892.16 |
Total Medicare Payment Amount |
507602.05 |
Total Medicare Standardized Payment Amount |
513397.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
909 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
102971 |
Total Drug Medicare AllowedAmount |
47797.07 |
Total Drug Medicare PaymentAmount |
37358.74 |
Total Drug Medicare Standardized Payment Amount |
37358.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
4899 |
Number Of Medicare Beneficiaries With Medical Services |
1993 |
Total Medical Submitted Charge Amount |
1485198 |
Total Medical Medicare Allowed Amount |
622095.09 |
Total Medical Medicare Payment Amount |
470243.31 |
Total Medical Medicare Standardized Payment Amount |
476038.85 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
667 |
Number Of Beneficiaries Age 75 to 84 |
802 |
Number Of Beneficiaries Age Greater 84 |
394 |
Number Of Female Beneficiaries |
1012 |
Number Of Male Beneficiaries |
981 |
Number Of Non Hispanic White Beneficiaries |
1837 |
Number Of Black or African American Beneficiaries |
83 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1802 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4171 |