National Provider Identifier [NPI]: |
1275601775 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
SANDEEP |
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 |
3801 KATELLA AVE |
Street Address 2 Of The Provider |
SUITE #207 |
City Of The Provider |
LOS ALAMITOS |
Zip Code Of The Provider |
907203338 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
54425 |
Number Of Medicare Beneficiaries |
334 |
Total Submitted Charge Amount |
1393687.9 |
Total Medicare Allowed Amount |
713094.27 |
Total Medicare Payment Amount |
547950.45 |
Total Medicare Standardized Payment Amount |
531404.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
45 |
Number Of Drug Services |
50737 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
982843.9 |
Total Drug Medicare AllowedAmount |
492495.11 |
Total Drug Medicare PaymentAmount |
381276.24 |
Total Drug Medicare Standardized Payment Amount |
381276.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3688 |
Number Of Medicare Beneficiaries With Medical Services |
334 |
Total Medical Submitted Charge Amount |
410844 |
Total Medical Medicare Allowed Amount |
220599.16 |
Total Medical Medicare Payment Amount |
166674.21 |
Total Medical Medicare Standardized Payment Amount |
150128.03 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
119 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
271 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.816 |