National Provider Identifier [NPI]: |
1891943650 |
Last Name Of The Provider |
SINGAREDDY |
First Name Of The Provider |
SHYAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3635 VISTA AVE |
Street Address 2 Of The Provider |
SAINT LOUIS UNIVERSITY HOSPITAL |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631102539 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1635 |
Number Of Medicare Beneficiaries |
679 |
Total Submitted Charge Amount |
173664.23 |
Total Medicare Allowed Amount |
169648.15 |
Total Medicare Payment Amount |
129343.53 |
Total Medicare Standardized Payment Amount |
134932.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1635 |
Number Of Medicare Beneficiaries With Medical Services |
679 |
Total Medical Submitted Charge Amount |
173664.23 |
Total Medical Medicare Allowed Amount |
169648.15 |
Total Medical Medicare Payment Amount |
129343.53 |
Total Medical Medicare Standardized Payment Amount |
134932.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
386 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
425 |
Number Of Black or African American Beneficiaries |
230 |
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 |
371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
308 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.5786 |