National Provider Identifier [NPI]: |
1760519557 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
RAJASEKHAR |
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 |
350 COUNTRY CLUB DRIVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
STOCKBRIDGE |
Zip Code Of The Provider |
30281 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
8517 |
Number Of Medicare Beneficiaries |
2800 |
Total Submitted Charge Amount |
2386846.75 |
Total Medicare Allowed Amount |
905596.03 |
Total Medicare Payment Amount |
680042.73 |
Total Medicare Standardized Payment Amount |
691909.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
715 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
77825 |
Total Drug Medicare AllowedAmount |
26064.95 |
Total Drug Medicare PaymentAmount |
19940.77 |
Total Drug Medicare Standardized Payment Amount |
19940.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
7802 |
Number Of Medicare Beneficiaries With Medical Services |
2800 |
Total Medical Submitted Charge Amount |
2309021.75 |
Total Medical Medicare Allowed Amount |
879531.08 |
Total Medical Medicare Payment Amount |
660101.96 |
Total Medical Medicare Standardized Payment Amount |
671969.12 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
595 |
Number Of Beneficiaries Age 65 to 74 |
1080 |
Number Of Beneficiaries Age 75 to 84 |
791 |
Number Of Beneficiaries Age Greater 84 |
334 |
Number Of Female Beneficiaries |
1497 |
Number Of Male Beneficiaries |
1303 |
Number Of Non Hispanic White Beneficiaries |
1689 |
Number Of Black or African American Beneficiaries |
973 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1997 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
803 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8809 |