Medicare Facts for Dr. James M. Sebghati, MD


National Provider Identifier [NPI]: 1770536914
Last Name Of The Provider SEBGHATI
First Name Of The Provider JAMES
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 20805 W 151ST ST
Street Address 2 Of The Provider SUITE 224
City Of The Provider OLATHE
Zip Code Of The Provider 660617249
State Code Of The Provider KS
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 3639
Number Of Medicare Beneficiaries 684
Total Submitted Charge Amount 353829
Total Medicare Allowed Amount 223117.52
Total Medicare Payment Amount 171217.62
Total Medicare Standardized Payment Amount 179781.16
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 137
Number Of Medicare Beneficiaries With Drug Services 126
Total Drug Submitted ChargeAmount 6672
Total Drug Medicare AllowedAmount 5124.84
Total Drug Medicare PaymentAmount 5017.52
Total Drug Medicare Standardized Payment Amount 5017.52
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 43
Number Of Medical Services 3502
Number Of Medicare Beneficiaries With Medical Services 684
Total Medical Submitted Charge Amount 347157
Total Medical Medicare Allowed Amount 217992.68
Total Medical Medicare Payment Amount 166200.1
Total Medical Medicare Standardized Payment Amount 174763.64
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 82
Number Of Beneficiaries Age 65 to 74 257
Number Of Beneficiaries Age 75 to 84 210
Number Of Beneficiaries Age Greater 84 135
Number Of Female Beneficiaries 390
Number Of Male Beneficiaries 294
Number Of Non Hispanic White Beneficiaries 653
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 569
Number Of Beneficiaries With Medicare Medicaid Entitlement 115
Percent Of With Atrial Fibrillation 28
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 12
Percent Of With Cancer 15
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 44
Percent Of With Chronic Obstructive Pulmonary Disease 26
Percent Of With Depression 30
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 57
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.5692

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