National Provider Identifier [NPI]: |
1437117249 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
SURESH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8777 BROADWAY |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
MERRILLVILLE |
Zip Code Of The Provider |
464106693 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
5193 |
Number Of Medicare Beneficiaries |
597 |
Total Submitted Charge Amount |
328168 |
Total Medicare Allowed Amount |
253894.74 |
Total Medicare Payment Amount |
183806.51 |
Total Medicare Standardized Payment Amount |
196885.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
299 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
9215 |
Total Drug Medicare AllowedAmount |
6374.35 |
Total Drug Medicare PaymentAmount |
6173.39 |
Total Drug Medicare Standardized Payment Amount |
6173.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4894 |
Number Of Medicare Beneficiaries With Medical Services |
597 |
Total Medical Submitted Charge Amount |
318953 |
Total Medical Medicare Allowed Amount |
247520.39 |
Total Medical Medicare Payment Amount |
177633.12 |
Total Medical Medicare Standardized Payment Amount |
190712.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
360 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2849 |