Medicare Facts for Dr. Craig K. Seto, MD


National Provider Identifier [NPI]: 1508935149
Last Name Of The Provider SETO
First Name Of The Provider CRAIG
Middle Initial Of The Provider K
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 260 PANTOPS CTR
Street Address 2 Of The Provider
City Of The Provider CHARLOTTESVILLE
Zip Code Of The Provider 229118601
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 49
Number Of Services 685
Number Of Medicare Beneficiaries 352
Total Submitted Charge Amount 92003
Total Medicare Allowed Amount 42851.67
Total Medicare Payment Amount 28468.12
Total Medicare Standardized Payment Amount 29144.69
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 126
Number Of Medicare Beneficiaries With Drug Services 36
Total Drug Submitted ChargeAmount 2315
Total Drug Medicare AllowedAmount 220.27
Total Drug Medicare PaymentAmount 174.12
Total Drug Medicare Standardized Payment Amount 174.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 43
Number Of Medical Services 559
Number Of Medicare Beneficiaries With Medical Services 351
Total Medical Submitted Charge Amount 89688
Total Medical Medicare Allowed Amount 42631.4
Total Medical Medicare Payment Amount 28294
Total Medical Medicare Standardized Payment Amount 28970.57
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 69
Number Of Beneficiaries Age 65 to 74 160
Number Of Beneficiaries Age 75 to 84 92
Number Of Beneficiaries Age Greater 84 31
Number Of Female Beneficiaries 243
Number Of Male Beneficiaries 109
Number Of Non Hispanic White Beneficiaries 308
Number Of Black or African American Beneficiaries
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 290
Number Of Beneficiaries With Medicare Medicaid Entitlement 62
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 6
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 23
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 49
Percent Of With Ischemic Heart Disease 19
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8326

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