National Provider Identifier [NPI]: |
1336141308 |
Last Name Of The Provider |
LAKIREDDY |
First Name Of The Provider |
HANIMIREDDY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
388 E YOSEMITE AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MERCED |
Zip Code Of The Provider |
953408219 |
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 |
36 |
Number Of Services |
8420 |
Number Of Medicare Beneficiaries |
2406 |
Total Submitted Charge Amount |
1632119 |
Total Medicare Allowed Amount |
849195.72 |
Total Medicare Payment Amount |
645779.55 |
Total Medicare Standardized Payment Amount |
622459.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
372 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
31620 |
Total Drug Medicare AllowedAmount |
19705.61 |
Total Drug Medicare PaymentAmount |
15253.5 |
Total Drug Medicare Standardized Payment Amount |
15253.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
8048 |
Number Of Medicare Beneficiaries With Medical Services |
2406 |
Total Medical Submitted Charge Amount |
1600499 |
Total Medical Medicare Allowed Amount |
829490.11 |
Total Medical Medicare Payment Amount |
630526.05 |
Total Medical Medicare Standardized Payment Amount |
607206.3 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
375 |
Number Of Beneficiaries Age 65 to 74 |
940 |
Number Of Beneficiaries Age 75 to 84 |
724 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
1317 |
Number Of Male Beneficiaries |
1089 |
Number Of Non Hispanic White Beneficiaries |
1451 |
Number Of Black or African American Beneficiaries |
144 |
Number Of AsianPacific Islander Beneficiaries |
108 |
Number Of Hispanic Beneficiaries |
663 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1017 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8577 |