Medicare Facts for Dr. Sumana Reddy, MD


National Provider Identifier [NPI]: 1336259738
Last Name Of The Provider REDDY
First Name Of The Provider SUMANA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 400 E ROMIE LN
Street Address 2 Of The Provider
City Of The Provider SALINAS
Zip Code Of The Provider 939014017
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 794
Number Of Medicare Beneficiaries 185
Total Submitted Charge Amount 70116.5
Total Medicare Allowed Amount 54762.83
Total Medicare Payment Amount 39012.27
Total Medicare Standardized Payment Amount 38382.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 143
Number Of Medicare Beneficiaries With Drug Services 89
Total Drug Submitted ChargeAmount 7289.5
Total Drug Medicare AllowedAmount 4666.61
Total Drug Medicare PaymentAmount 4563.73
Total Drug Medicare Standardized Payment Amount 4563.73
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 651
Number Of Medicare Beneficiaries With Medical Services 185
Total Medical Submitted Charge Amount 62827
Total Medical Medicare Allowed Amount 50096.22
Total Medical Medicare Payment Amount 34448.54
Total Medical Medicare Standardized Payment Amount 33818.64
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 96
Number Of Beneficiaries Age 75 to 84 56
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 120
Number Of Male Beneficiaries 65
Number Of Non Hispanic White Beneficiaries 63
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 11
Number Of Hispanic Beneficiaries 99
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 142
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 10
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9947

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