National Provider Identifier [NPI]: |
1952375354 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
VISHWANATH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2417 AL HIGHWAY 202 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANNISTON |
Zip Code Of The Provider |
362015349 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
7833 |
Number Of Medicare Beneficiaries |
976 |
Total Submitted Charge Amount |
660752.7 |
Total Medicare Allowed Amount |
456642.16 |
Total Medicare Payment Amount |
337929.24 |
Total Medicare Standardized Payment Amount |
363176.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
927 |
Number Of Medicare Beneficiaries With Drug Services |
330 |
Total Drug Submitted ChargeAmount |
11329 |
Total Drug Medicare AllowedAmount |
3859 |
Total Drug Medicare PaymentAmount |
3166.12 |
Total Drug Medicare Standardized Payment Amount |
3166.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
6906 |
Number Of Medicare Beneficiaries With Medical Services |
976 |
Total Medical Submitted Charge Amount |
649423.7 |
Total Medical Medicare Allowed Amount |
452783.16 |
Total Medical Medicare Payment Amount |
334763.12 |
Total Medical Medicare Standardized Payment Amount |
360010.04 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
552 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
202 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
330 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8517 |