National Provider Identifier [NPI]: |
1669458097 |
Last Name Of The Provider |
SEGARS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2645 OCEAN AVE |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941321633 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1916 |
Number Of Medicare Beneficiaries |
247 |
Total Submitted Charge Amount |
229827 |
Total Medicare Allowed Amount |
122874.07 |
Total Medicare Payment Amount |
91647.94 |
Total Medicare Standardized Payment Amount |
76415.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
5435 |
Total Drug Medicare AllowedAmount |
2701.9 |
Total Drug Medicare PaymentAmount |
2591.41 |
Total Drug Medicare Standardized Payment Amount |
2591.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1714 |
Number Of Medicare Beneficiaries With Medical Services |
247 |
Total Medical Submitted Charge Amount |
224392 |
Total Medical Medicare Allowed Amount |
120172.17 |
Total Medical Medicare Payment Amount |
89056.53 |
Total Medical Medicare Standardized Payment Amount |
73824.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
181 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
23 |
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 |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.112 |