| National Provider Identifier [NPI]: | 1932161155 |
| Last Name Of The Provider | REDDY |
| First Name Of The Provider | PAVAN |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 818 N EMPORIA ST |
| Street Address 2 Of The Provider | SUITE 403 |
| City Of The Provider | WICHITA |
| Zip Code Of The Provider | 672143729 |
| State Code Of The Provider | KS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 229 |
| Number Of Services | 453383 |
| Number Of Medicare Beneficiaries | 1571 |
| Total Submitted Charge Amount | 19927763.4 |
| Total Medicare Allowed Amount | 9404629.86 |
| Total Medicare Payment Amount | 7351198.71 |
| Total Medicare Standardized Payment Amount | 7373486.92 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 119 |
| Number Of Drug Services | 427648 |
| Number Of Medicare Beneficiaries With Drug Services | 862 |
| Total Drug Submitted ChargeAmount | 17007084.4 |
| Total Drug Medicare AllowedAmount | 8125449.39 |
| Total Drug Medicare PaymentAmount | 6356247.11 |
| Total Drug Medicare Standardized Payment Amount | 6356247.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 110 |
| Number Of Medical Services | 25735 |
| Number Of Medicare Beneficiaries With Medical Services | 1571 |
| Total Medical Submitted Charge Amount | 2920679 |
| Total Medical Medicare Allowed Amount | 1279180.47 |
| Total Medical Medicare Payment Amount | 994951.6 |
| Total Medical Medicare Standardized Payment Amount | 1017239.81 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 192 |
| Number Of Beneficiaries Age 65 to 74 | 677 |
| Number Of Beneficiaries Age 75 to 84 | 526 |
| Number Of Beneficiaries Age Greater 84 | 176 |
| Number Of Female Beneficiaries | 950 |
| Number Of Male Beneficiaries | 621 |
| Number Of Non Hispanic White Beneficiaries | 1425 |
| Number Of Black or African American Beneficiaries | 85 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 35 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 11 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1368 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 203 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 54 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 43 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 29 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 2.0315 |