National Provider Identifier [NPI]: |
1770649436 |
Last Name Of The Provider |
ALLADI |
First Name Of The Provider |
UMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5308 N GALLOWAY AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MESQUITE |
Zip Code Of The Provider |
751501176 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
11999 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
722151 |
Total Medicare Allowed Amount |
251113.44 |
Total Medicare Payment Amount |
190744.01 |
Total Medicare Standardized Payment Amount |
191046.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10555 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
143180 |
Total Drug Medicare AllowedAmount |
35572.58 |
Total Drug Medicare PaymentAmount |
27361.98 |
Total Drug Medicare Standardized Payment Amount |
27361.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1444 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
578971 |
Total Medical Medicare Allowed Amount |
215540.86 |
Total Medical Medicare Payment Amount |
163382.03 |
Total Medical Medicare Standardized Payment Amount |
163684.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
89 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
161 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
3.205 |