National Provider Identifier [NPI]: |
1780658708 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
HIMABINDU |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
909 9TH AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761043903 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
38632.5 |
Number Of Medicare Beneficiaries |
577 |
Total Submitted Charge Amount |
1281617 |
Total Medicare Allowed Amount |
777766.48 |
Total Medicare Payment Amount |
597186.93 |
Total Medicare Standardized Payment Amount |
600835.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
33935.5 |
Number Of Medicare Beneficiaries With Drug Services |
168 |
Total Drug Submitted ChargeAmount |
913590 |
Total Drug Medicare AllowedAmount |
586328.16 |
Total Drug Medicare PaymentAmount |
455002.67 |
Total Drug Medicare Standardized Payment Amount |
455002.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4697 |
Number Of Medicare Beneficiaries With Medical Services |
577 |
Total Medical Submitted Charge Amount |
368027 |
Total Medical Medicare Allowed Amount |
191438.32 |
Total Medical Medicare Payment Amount |
142184.26 |
Total Medical Medicare Standardized Payment Amount |
145832.53 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4456 |