National Provider Identifier [NPI]: |
1184895286 |
Last Name Of The Provider |
SUREDDI |
First Name Of The Provider |
VANAJA |
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 |
10887 N MILITARY TRL |
Street Address 2 Of The Provider |
SUITE 5 |
City Of The Provider |
PALM BEACH GARDENS |
Zip Code Of The Provider |
334106528 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
4594 |
Number Of Medicare Beneficiaries |
740 |
Total Submitted Charge Amount |
632647.06 |
Total Medicare Allowed Amount |
464960.14 |
Total Medicare Payment Amount |
354163.28 |
Total Medicare Standardized Payment Amount |
298709.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
4095 |
Total Drug Medicare AllowedAmount |
1095.64 |
Total Drug Medicare PaymentAmount |
1073.8 |
Total Drug Medicare Standardized Payment Amount |
1073.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4503 |
Number Of Medicare Beneficiaries With Medical Services |
740 |
Total Medical Submitted Charge Amount |
628552.06 |
Total Medical Medicare Allowed Amount |
463864.5 |
Total Medical Medicare Payment Amount |
353089.48 |
Total Medical Medicare Standardized Payment Amount |
297636.04 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
647 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
642 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6113 |