National Provider Identifier [NPI]: |
1447259700 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
NALINI |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9460 BELLA TERRA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT WORTH |
Zip Code Of The Provider |
761261902 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
3071 |
Number Of Medicare Beneficiaries |
1821 |
Total Submitted Charge Amount |
315787 |
Total Medicare Allowed Amount |
88744.96 |
Total Medicare Payment Amount |
64518.33 |
Total Medicare Standardized Payment Amount |
66805.46 |
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 |
121 |
Number Of Medical Services |
3071 |
Number Of Medicare Beneficiaries With Medical Services |
1821 |
Total Medical Submitted Charge Amount |
315787 |
Total Medical Medicare Allowed Amount |
88744.96 |
Total Medical Medicare Payment Amount |
64518.33 |
Total Medical Medicare Standardized Payment Amount |
66805.46 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
424 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
1122 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
884 |
Number Of Black or African American Beneficiaries |
138 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
763 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
610 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4981 |