National Provider Identifier [NPI]: |
1063679546 |
Last Name Of The Provider |
GADDIPATI |
First Name Of The Provider |
SWAPNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1850 TOWN CENTER PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
RESTON |
Zip Code Of The Provider |
201903219 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
3228 |
Number Of Medicare Beneficiaries |
864 |
Total Submitted Charge Amount |
475850 |
Total Medicare Allowed Amount |
298227.79 |
Total Medicare Payment Amount |
232465.94 |
Total Medicare Standardized Payment Amount |
222431.37 |
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 |
15 |
Number Of Medical Services |
3228 |
Number Of Medicare Beneficiaries With Medical Services |
864 |
Total Medical Submitted Charge Amount |
475850 |
Total Medical Medicare Allowed Amount |
298227.79 |
Total Medical Medicare Payment Amount |
232465.94 |
Total Medical Medicare Standardized Payment Amount |
222431.37 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
330 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
752 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
710 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.864 |