National Provider Identifier [NPI]: |
1760427652 |
Last Name Of The Provider |
SAGAR |
First Name Of The Provider |
AMIT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4201 SAINT ANTOINE ST |
Street Address 2 Of The Provider |
SUITE 5C |
City Of The Provider |
DETROIT |
Zip Code Of The Provider |
482012153 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
1239 |
Number Of Medicare Beneficiaries |
402 |
Total Submitted Charge Amount |
372406.46 |
Total Medicare Allowed Amount |
104068.61 |
Total Medicare Payment Amount |
81601.61 |
Total Medicare Standardized Payment Amount |
78990.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
45 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1535 |
Total Drug Medicare AllowedAmount |
837.04 |
Total Drug Medicare PaymentAmount |
790.1 |
Total Drug Medicare Standardized Payment Amount |
790.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
1194 |
Number Of Medicare Beneficiaries With Medical Services |
402 |
Total Medical Submitted Charge Amount |
370871.46 |
Total Medical Medicare Allowed Amount |
103231.57 |
Total Medical Medicare Payment Amount |
80811.51 |
Total Medical Medicare Standardized Payment Amount |
78200.31 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
136 |
Number Of Black or African American Beneficiaries |
244 |
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 |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
244 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.4643 |