National Provider Identifier [NPI]: |
1649318023 |
Last Name Of The Provider |
KATIKIREDDY |
First Name Of The Provider |
CHANDRA |
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 |
2210 E ILLINOIS AVE |
Street Address 2 Of The Provider |
SUITE 508 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937012125 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
1686 |
Number Of Medicare Beneficiaries |
662 |
Total Submitted Charge Amount |
367879 |
Total Medicare Allowed Amount |
167243.57 |
Total Medicare Payment Amount |
129194.61 |
Total Medicare Standardized Payment Amount |
124753.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
219 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
21433 |
Total Drug Medicare AllowedAmount |
10216.5 |
Total Drug Medicare PaymentAmount |
8009.74 |
Total Drug Medicare Standardized Payment Amount |
8009.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1467 |
Number Of Medicare Beneficiaries With Medical Services |
662 |
Total Medical Submitted Charge Amount |
346446 |
Total Medical Medicare Allowed Amount |
157027.07 |
Total Medical Medicare Payment Amount |
121184.87 |
Total Medical Medicare Standardized Payment Amount |
116743.61 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
374 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
237 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
421 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1469 |