National Provider Identifier [NPI]: |
1275629818 |
Last Name Of The Provider |
YARLAGADDA |
First Name Of The Provider |
RADHIKA |
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 |
2400 MOORPARK AVE |
Street Address 2 Of The Provider |
VHC MOORPARK INTERNAL MED CLINIC |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951282631 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
155 |
Number Of Medicare Beneficiaries |
77 |
Total Submitted Charge Amount |
26825.4 |
Total Medicare Allowed Amount |
9514.99 |
Total Medicare Payment Amount |
6690.56 |
Total Medicare Standardized Payment Amount |
5827.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1459.71 |
Total Drug Medicare AllowedAmount |
962.44 |
Total Drug Medicare PaymentAmount |
943.18 |
Total Drug Medicare Standardized Payment Amount |
943.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
116 |
Number Of Medicare Beneficiaries With Medical Services |
77 |
Total Medical Submitted Charge Amount |
25365.69 |
Total Medical Medicare Allowed Amount |
8552.55 |
Total Medical Medicare Payment Amount |
5747.38 |
Total Medical Medicare Standardized Payment Amount |
4884 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
43 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
50 |
Number Of Male Beneficiaries |
27 |
Number Of Non Hispanic White Beneficiaries |
24 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
31 |
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 |
15 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
19 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3373 |