| National Provider Identifier [NPI]: | 1003024191 |
| Last Name Of The Provider | PEDDI |
| First Name Of The Provider | SRINIVAS |
| 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 | 23929 MCBEAN PKWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | VALENCIA |
| Zip Code Of The Provider | 913554466 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 177 |
| Number Of Services | 15032 |
| Number Of Medicare Beneficiaries | 3228 |
| Total Submitted Charge Amount | 1670057 |
| Total Medicare Allowed Amount | 380213.42 |
| Total Medicare Payment Amount | 285947.32 |
| Total Medicare Standardized Payment Amount | 264470.25 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 9684 |
| Number Of Medicare Beneficiaries With Drug Services | 217 |
| Total Drug Submitted ChargeAmount | 16817 |
| Total Drug Medicare AllowedAmount | 3964.48 |
| Total Drug Medicare PaymentAmount | 3057.27 |
| Total Drug Medicare Standardized Payment Amount | 3057.27 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 172 |
| Number Of Medical Services | 5348 |
| Number Of Medicare Beneficiaries With Medical Services | 3228 |
| Total Medical Submitted Charge Amount | 1653240 |
| Total Medical Medicare Allowed Amount | 376248.94 |
| Total Medical Medicare Payment Amount | 282890.05 |
| Total Medical Medicare Standardized Payment Amount | 261412.98 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 257 |
| Number Of Beneficiaries Age 65 to 74 | 1078 |
| Number Of Beneficiaries Age 75 to 84 | 1082 |
| Number Of Beneficiaries Age Greater 84 | 811 |
| Number Of Female Beneficiaries | 1843 |
| Number Of Male Beneficiaries | 1385 |
| Number Of Non Hispanic White Beneficiaries | 2597 |
| Number Of Black or African American Beneficiaries | 132 |
| Number Of AsianPacific Islander Beneficiaries | 174 |
| Number Of Hispanic Beneficiaries | 246 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2455 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 773 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.7931 |