National Provider Identifier [NPI]: |
1912127572 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
RITEESHA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8440 WALNUT HILL LN |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752313833 |
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 |
31 |
Number Of Services |
7838 |
Number Of Medicare Beneficiaries |
62 |
Total Submitted Charge Amount |
100837.4 |
Total Medicare Allowed Amount |
88251.05 |
Total Medicare Payment Amount |
68348.62 |
Total Medicare Standardized Payment Amount |
69563.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
7296 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
67344.14 |
Total Drug Medicare AllowedAmount |
59785.13 |
Total Drug Medicare PaymentAmount |
46946.58 |
Total Drug Medicare Standardized Payment Amount |
46946.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
542 |
Number Of Medicare Beneficiaries With Medical Services |
62 |
Total Medical Submitted Charge Amount |
33493.26 |
Total Medical Medicare Allowed Amount |
28465.92 |
Total Medical Medicare Payment Amount |
21402.04 |
Total Medical Medicare Standardized Payment Amount |
22616.75 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
25 |
Number Of Beneficiaries Age 75 to 84 |
17 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
39 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2781 |