National Provider Identifier [NPI]: |
1275580326 |
Last Name Of The Provider |
VASIREDDY |
First Name Of The Provider |
SABITHA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1955 MEMORIAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
245414712 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
14251 |
Number Of Medicare Beneficiaries |
1372 |
Total Submitted Charge Amount |
502694.76 |
Total Medicare Allowed Amount |
330570.11 |
Total Medicare Payment Amount |
260511.44 |
Total Medicare Standardized Payment Amount |
262429.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
452 |
Number Of Medicare Beneficiaries With Drug Services |
328 |
Total Drug Submitted ChargeAmount |
19098.8 |
Total Drug Medicare AllowedAmount |
12576.34 |
Total Drug Medicare PaymentAmount |
12226.28 |
Total Drug Medicare Standardized Payment Amount |
12226.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
13799 |
Number Of Medicare Beneficiaries With Medical Services |
1372 |
Total Medical Submitted Charge Amount |
483595.96 |
Total Medical Medicare Allowed Amount |
317993.77 |
Total Medical Medicare Payment Amount |
248285.16 |
Total Medical Medicare Standardized Payment Amount |
250203.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
465 |
Number Of Beneficiaries Age 75 to 84 |
402 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
938 |
Number Of Male Beneficiaries |
434 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
454 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
863 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
509 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9041 |