National Provider Identifier [NPI]: |
1225082910 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
RAVINDRANATH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
591 W PUTNAM AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
93257 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
3551 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
422086.43 |
Total Medicare Allowed Amount |
213963.3 |
Total Medicare Payment Amount |
151624.02 |
Total Medicare Standardized Payment Amount |
150009.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
512 |
Number Of Medicare Beneficiaries With Drug Services |
228 |
Total Drug Submitted ChargeAmount |
10048 |
Total Drug Medicare AllowedAmount |
3095.98 |
Total Drug Medicare PaymentAmount |
2874.84 |
Total Drug Medicare Standardized Payment Amount |
2874.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
3039 |
Number Of Medicare Beneficiaries With Medical Services |
481 |
Total Medical Submitted Charge Amount |
412038.43 |
Total Medical Medicare Allowed Amount |
210867.32 |
Total Medical Medicare Payment Amount |
148749.18 |
Total Medical Medicare Standardized Payment Amount |
147134.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
144 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
375 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.224 |