National Provider Identifier [NPI]: |
1245201268 |
Last Name Of The Provider |
REDDY |
First Name Of The Provider |
VARADAREDDY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5001 ANDREWS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDLAND |
Zip Code Of The Provider |
79703 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
10803 |
Number Of Medicare Beneficiaries |
908 |
Total Submitted Charge Amount |
2150535.85 |
Total Medicare Allowed Amount |
255033.19 |
Total Medicare Payment Amount |
194292.09 |
Total Medicare Standardized Payment Amount |
213551.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
9142 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
42057 |
Total Drug Medicare AllowedAmount |
4325.68 |
Total Drug Medicare PaymentAmount |
3282.85 |
Total Drug Medicare Standardized Payment Amount |
3282.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
1661 |
Number Of Medicare Beneficiaries With Medical Services |
908 |
Total Medical Submitted Charge Amount |
2108478.85 |
Total Medical Medicare Allowed Amount |
250707.51 |
Total Medical Medicare Payment Amount |
191009.24 |
Total Medical Medicare Standardized Payment Amount |
210268.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
603 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
255 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1123 |