National Provider Identifier [NPI]: |
1912097155 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
RAM |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
132 FRANKLIN SPRINGS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROYSTON |
Zip Code Of The Provider |
306624134 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
12169 |
Number Of Medicare Beneficiaries |
1831 |
Total Submitted Charge Amount |
852009.39 |
Total Medicare Allowed Amount |
507970.33 |
Total Medicare Payment Amount |
375056.41 |
Total Medicare Standardized Payment Amount |
401429.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2752 |
Number Of Medicare Beneficiaries With Drug Services |
354 |
Total Drug Submitted ChargeAmount |
79073.77 |
Total Drug Medicare AllowedAmount |
33694.46 |
Total Drug Medicare PaymentAmount |
27299.24 |
Total Drug Medicare Standardized Payment Amount |
27299.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
9417 |
Number Of Medicare Beneficiaries With Medical Services |
1831 |
Total Medical Submitted Charge Amount |
772935.62 |
Total Medical Medicare Allowed Amount |
474275.87 |
Total Medical Medicare Payment Amount |
347757.17 |
Total Medical Medicare Standardized Payment Amount |
374130.34 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
572 |
Number Of Beneficiaries Age 65 to 74 |
681 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
1142 |
Number Of Male Beneficiaries |
689 |
Number Of Non Hispanic White Beneficiaries |
1507 |
Number Of Black or African American Beneficiaries |
270 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
695 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1571 |