National Provider Identifier [NPI]: |
1033140207 |
Last Name Of The Provider |
NAREDDY |
First Name Of The Provider |
CHINNAPA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1303 E HERNDON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203309 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
3283 |
Number Of Medicare Beneficiaries |
714 |
Total Submitted Charge Amount |
539825 |
Total Medicare Allowed Amount |
333336.88 |
Total Medicare Payment Amount |
261050.08 |
Total Medicare Standardized Payment Amount |
254880.91 |
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 |
13 |
Number Of Medical Services |
3283 |
Number Of Medicare Beneficiaries With Medical Services |
714 |
Total Medical Submitted Charge Amount |
539825 |
Total Medical Medicare Allowed Amount |
333336.88 |
Total Medical Medicare Payment Amount |
261050.08 |
Total Medical Medicare Standardized Payment Amount |
254880.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
423 |
Number Of Male Beneficiaries |
291 |
Number Of Non Hispanic White Beneficiaries |
329 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
70 |
Number Of Hispanic Beneficiaries |
228 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
449 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.8181 |