National Provider Identifier [NPI]: |
1154327781 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
PONNAVOLU |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6325 US HIGHWAY 27 N |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
SEBRING |
Zip Code Of The Provider |
338708226 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
3834 |
Number Of Medicare Beneficiaries |
1084 |
Total Submitted Charge Amount |
1331970.88 |
Total Medicare Allowed Amount |
414501.52 |
Total Medicare Payment Amount |
308554.55 |
Total Medicare Standardized Payment Amount |
308582.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
413 |
Number Of Medicare Beneficiaries With Drug Services |
278 |
Total Drug Submitted ChargeAmount |
23945.5 |
Total Drug Medicare AllowedAmount |
7065.21 |
Total Drug Medicare PaymentAmount |
4731.73 |
Total Drug Medicare Standardized Payment Amount |
4731.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
3421 |
Number Of Medicare Beneficiaries With Medical Services |
1084 |
Total Medical Submitted Charge Amount |
1308025.38 |
Total Medical Medicare Allowed Amount |
407436.31 |
Total Medical Medicare Payment Amount |
303822.82 |
Total Medical Medicare Standardized Payment Amount |
303850.82 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
450 |
Number Of Beneficiaries Age 75 to 84 |
364 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
708 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
1003 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
950 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3483 |