| National Provider Identifier [NPI]: | 1780826453 |
| Last Name Of The Provider | REDDY |
| First Name Of The Provider | SUMANTH |
| Middle Initial Of The Provider | K |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9001 SUMMA AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | BATON ROUGE |
| Zip Code Of The Provider | 708093726 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 176 |
| Number Of Services | 11073 |
| Number Of Medicare Beneficiaries | 5417 |
| Total Submitted Charge Amount | 1670587 |
| Total Medicare Allowed Amount | 295179.04 |
| Total Medicare Payment Amount | 221823.76 |
| Total Medicare Standardized Payment Amount | 241565.71 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1058 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 5290 |
| Total Drug Medicare AllowedAmount | 2087.84 |
| Total Drug Medicare PaymentAmount | 1636.92 |
| Total Drug Medicare Standardized Payment Amount | 1636.92 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 175 |
| Number Of Medical Services | 10015 |
| Number Of Medicare Beneficiaries With Medical Services | 5417 |
| Total Medical Submitted Charge Amount | 1665297 |
| Total Medical Medicare Allowed Amount | 293091.2 |
| Total Medical Medicare Payment Amount | 220186.84 |
| Total Medical Medicare Standardized Payment Amount | 239928.79 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1338 |
| Number Of Beneficiaries Age 65 to 74 | 1782 |
| Number Of Beneficiaries Age 75 to 84 | 1524 |
| Number Of Beneficiaries Age Greater 84 | 773 |
| Number Of Female Beneficiaries | 3169 |
| Number Of Male Beneficiaries | 2248 |
| Number Of Non Hispanic White Beneficiaries | 3505 |
| Number Of Black or African American Beneficiaries | 1804 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 23 |
| Number Of American Indian Alaska Native Beneficiaries | 61 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3134 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2283 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 29 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 53 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 59 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.666 |