National Provider Identifier [NPI]: |
1760541197 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
PUNURU |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2828 HIGHWAY 31 S |
Street Address 2 Of The Provider |
|
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
356031510 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
14416.5 |
Number Of Medicare Beneficiaries |
3049 |
Total Submitted Charge Amount |
1317411.4 |
Total Medicare Allowed Amount |
760564.78 |
Total Medicare Payment Amount |
547088.73 |
Total Medicare Standardized Payment Amount |
608630.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2830.5 |
Number Of Medicare Beneficiaries With Drug Services |
688 |
Total Drug Submitted ChargeAmount |
61164.5 |
Total Drug Medicare AllowedAmount |
18339.3 |
Total Drug Medicare PaymentAmount |
15005.58 |
Total Drug Medicare Standardized Payment Amount |
15005.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
11586 |
Number Of Medicare Beneficiaries With Medical Services |
3049 |
Total Medical Submitted Charge Amount |
1256246.9 |
Total Medical Medicare Allowed Amount |
742225.48 |
Total Medical Medicare Payment Amount |
532083.15 |
Total Medical Medicare Standardized Payment Amount |
593625.33 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
412 |
Number Of Beneficiaries Age 65 to 74 |
1449 |
Number Of Beneficiaries Age 75 to 84 |
941 |
Number Of Beneficiaries Age Greater 84 |
247 |
Number Of Female Beneficiaries |
1874 |
Number Of Male Beneficiaries |
1175 |
Number Of Non Hispanic White Beneficiaries |
2688 |
Number Of Black or African American Beneficiaries |
327 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
408 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0296 |