National Provider Identifier [NPI]: |
1720069040 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
ASHOK |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44344 DEQUINDRE RD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
STERLING HEIGHTS |
Zip Code Of The Provider |
483141038 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
10434 |
Number Of Medicare Beneficiaries |
1029 |
Total Submitted Charge Amount |
1405178 |
Total Medicare Allowed Amount |
649675.67 |
Total Medicare Payment Amount |
492169.12 |
Total Medicare Standardized Payment Amount |
485442.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2534 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
82140 |
Total Drug Medicare AllowedAmount |
48045.08 |
Total Drug Medicare PaymentAmount |
37667.36 |
Total Drug Medicare Standardized Payment Amount |
37667.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
7900 |
Number Of Medicare Beneficiaries With Medical Services |
1029 |
Total Medical Submitted Charge Amount |
1323038 |
Total Medical Medicare Allowed Amount |
601630.59 |
Total Medical Medicare Payment Amount |
454501.76 |
Total Medical Medicare Standardized Payment Amount |
447775.62 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
652 |
Number Of Non Hispanic White Beneficiaries |
974 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
940 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5274 |