National Provider Identifier [NPI]: |
1851389514 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
SAMARTH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9970 CENTRAL PARK BLVD N |
Street Address 2 Of The Provider |
SUITE 304 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334282231 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
163746 |
Number Of Medicare Beneficiaries |
468 |
Total Submitted Charge Amount |
4232138.59 |
Total Medicare Allowed Amount |
1736017.44 |
Total Medicare Payment Amount |
1358059.68 |
Total Medicare Standardized Payment Amount |
1338110.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
52 |
Number Of Drug Services |
153850 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
3488679.51 |
Total Drug Medicare AllowedAmount |
1310870.51 |
Total Drug Medicare PaymentAmount |
1026896.42 |
Total Drug Medicare Standardized Payment Amount |
1026896.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
9896 |
Number Of Medicare Beneficiaries With Medical Services |
468 |
Total Medical Submitted Charge Amount |
743459.08 |
Total Medical Medicare Allowed Amount |
425146.93 |
Total Medical Medicare Payment Amount |
331163.26 |
Total Medical Medicare Standardized Payment Amount |
311214.31 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
172 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
255 |
Number Of Male Beneficiaries |
213 |
Number Of Non Hispanic White Beneficiaries |
444 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.1348 |