National Provider Identifier [NPI]: |
1386680494 |
Last Name Of The Provider |
DEVIREDDY |
First Name Of The Provider |
LINGAREDDY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11900 E 12 MILE RD |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480933487 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
10416 |
Number Of Medicare Beneficiaries |
3225 |
Total Submitted Charge Amount |
1459633.61 |
Total Medicare Allowed Amount |
588506.9 |
Total Medicare Payment Amount |
446587.59 |
Total Medicare Standardized Payment Amount |
434547.38 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
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Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
550 |
Number Of Beneficiaries Age 65 to 74 |
887 |
Number Of Beneficiaries Age 75 to 84 |
989 |
Number Of Beneficiaries Age Greater 84 |
799 |
Number Of Female Beneficiaries |
1849 |
Number Of Male Beneficiaries |
1376 |
Number Of Non Hispanic White Beneficiaries |
2612 |
Number Of Black or African American Beneficiaries |
469 |
Number Of AsianPacific Islander Beneficiaries |
70 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2330 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
895 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2612 |