National Provider Identifier [NPI]: |
1467535484 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
SASHIDHAR |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
777 WALTER REED BLVD |
Street Address 2 Of The Provider |
#201 |
City Of The Provider |
GARLAND |
Zip Code Of The Provider |
750425788 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
143391 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
5929829 |
Total Medicare Allowed Amount |
1777032.64 |
Total Medicare Payment Amount |
1389932.41 |
Total Medicare Standardized Payment Amount |
1396449.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
135973 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
4612980 |
Total Drug Medicare AllowedAmount |
1417024.98 |
Total Drug Medicare PaymentAmount |
1108749.13 |
Total Drug Medicare Standardized Payment Amount |
1108749.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
7418 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
1316849 |
Total Medical Medicare Allowed Amount |
360007.66 |
Total Medical Medicare Payment Amount |
281183.28 |
Total Medical Medicare Standardized Payment Amount |
287699.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
87 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
125 |
Number Of Non Hispanic White Beneficiaries |
260 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6072 |