National Provider Identifier [NPI]: |
1407833577 |
Last Name Of The Provider |
YERRAPAREDDY |
First Name Of The Provider |
CHITRAVATHI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1717 W RIDGEWAY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATERLOO |
Zip Code Of The Provider |
507014543 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4094 |
Number Of Medicare Beneficiaries |
902 |
Total Submitted Charge Amount |
362921 |
Total Medicare Allowed Amount |
191758.53 |
Total Medicare Payment Amount |
135160.9 |
Total Medicare Standardized Payment Amount |
139838.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1091 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
24275 |
Total Drug Medicare AllowedAmount |
15899.87 |
Total Drug Medicare PaymentAmount |
12160.35 |
Total Drug Medicare Standardized Payment Amount |
12160.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3003 |
Number Of Medicare Beneficiaries With Medical Services |
902 |
Total Medical Submitted Charge Amount |
338646 |
Total Medical Medicare Allowed Amount |
175858.66 |
Total Medical Medicare Payment Amount |
123000.55 |
Total Medical Medicare Standardized Payment Amount |
127677.71 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
171 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
288 |
Number Of Non Hispanic White Beneficiaries |
810 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
740 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2985 |