National Provider Identifier [NPI]: |
1922290675 |
Last Name Of The Provider |
JUVVADI |
First Name Of The Provider |
RAGHU |
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 |
5378 SPRING HILL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRING HILL |
Zip Code Of The Provider |
346064562 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2157 |
Number Of Medicare Beneficiaries |
547 |
Total Submitted Charge Amount |
387520 |
Total Medicare Allowed Amount |
198773.42 |
Total Medicare Payment Amount |
152820.28 |
Total Medicare Standardized Payment Amount |
151722.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
329 |
Total Drug Medicare AllowedAmount |
192 |
Total Drug Medicare PaymentAmount |
187.26 |
Total Drug Medicare Standardized Payment Amount |
187.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2144 |
Number Of Medicare Beneficiaries With Medical Services |
547 |
Total Medical Submitted Charge Amount |
387191 |
Total Medical Medicare Allowed Amount |
198581.42 |
Total Medical Medicare Payment Amount |
152633.02 |
Total Medical Medicare Standardized Payment Amount |
151535.19 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
246 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
487 |
Number Of Black or African American Beneficiaries |
27 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
414 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.5818 |