National Provider Identifier [NPI]: |
1902864051 |
Last Name Of The Provider |
SIHAU |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1002 LEAWOOD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRANKFORT |
Zip Code Of The Provider |
40601 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
5320 |
Number Of Medicare Beneficiaries |
843 |
Total Submitted Charge Amount |
339849.1 |
Total Medicare Allowed Amount |
273753.34 |
Total Medicare Payment Amount |
205497.06 |
Total Medicare Standardized Payment Amount |
221983.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1188 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
12728 |
Total Drug Medicare AllowedAmount |
9975.59 |
Total Drug Medicare PaymentAmount |
7722.37 |
Total Drug Medicare Standardized Payment Amount |
7722.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4132 |
Number Of Medicare Beneficiaries With Medical Services |
843 |
Total Medical Submitted Charge Amount |
327121.1 |
Total Medical Medicare Allowed Amount |
263777.75 |
Total Medical Medicare Payment Amount |
197774.69 |
Total Medical Medicare Standardized Payment Amount |
214261.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
397 |
Number Of Non Hispanic White Beneficiaries |
804 |
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 |
621 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5011 |