National Provider Identifier [NPI]: |
1174545453 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
GEETHA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1880 W WINCHESTER RD |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
LIBERTYVILLE |
Zip Code Of The Provider |
600485341 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4447 |
Number Of Medicare Beneficiaries |
1570 |
Total Submitted Charge Amount |
1121130 |
Total Medicare Allowed Amount |
366659.66 |
Total Medicare Payment Amount |
278592.9 |
Total Medicare Standardized Payment Amount |
264562.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
229 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
23585 |
Total Drug Medicare AllowedAmount |
8454.07 |
Total Drug Medicare PaymentAmount |
6627.95 |
Total Drug Medicare Standardized Payment Amount |
6627.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4218 |
Number Of Medicare Beneficiaries With Medical Services |
1570 |
Total Medical Submitted Charge Amount |
1097545 |
Total Medical Medicare Allowed Amount |
358205.59 |
Total Medical Medicare Payment Amount |
271964.95 |
Total Medical Medicare Standardized Payment Amount |
257934.74 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
537 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
317 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
644 |
Number Of Non Hispanic White Beneficiaries |
1160 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
49 |
Number Of Hispanic Beneficiaries |
175 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1086 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
484 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.908 |