National Provider Identifier [NPI]: |
1083791750 |
Last Name Of The Provider |
SASAKI |
First Name Of The Provider |
ARIA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3161 L ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165234 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
3134 |
Number Of Medicare Beneficiaries |
531 |
Total Submitted Charge Amount |
1389797.5 |
Total Medicare Allowed Amount |
128147.24 |
Total Medicare Payment Amount |
98596 |
Total Medicare Standardized Payment Amount |
96578.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2011 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
2011 |
Total Drug Medicare AllowedAmount |
384.54 |
Total Drug Medicare PaymentAmount |
301.47 |
Total Drug Medicare Standardized Payment Amount |
301.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
1123 |
Number Of Medicare Beneficiaries With Medical Services |
531 |
Total Medical Submitted Charge Amount |
1387786.5 |
Total Medical Medicare Allowed Amount |
127762.7 |
Total Medical Medicare Payment Amount |
98294.53 |
Total Medical Medicare Standardized Payment Amount |
96277 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
386 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4727 |