National Provider Identifier [NPI]: |
1356338644 |
Last Name Of The Provider |
SABIN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
255 UNION BLVD |
Street Address 2 Of The Provider |
SUITE# 360 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
802281810 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1998 |
Number Of Medicare Beneficiaries |
381 |
Total Submitted Charge Amount |
640510.89 |
Total Medicare Allowed Amount |
214749.57 |
Total Medicare Payment Amount |
155567.38 |
Total Medicare Standardized Payment Amount |
158178.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
592 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
31600 |
Total Drug Medicare AllowedAmount |
12443.12 |
Total Drug Medicare PaymentAmount |
9668.71 |
Total Drug Medicare Standardized Payment Amount |
9668.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
1406 |
Number Of Medicare Beneficiaries With Medical Services |
381 |
Total Medical Submitted Charge Amount |
608910.89 |
Total Medical Medicare Allowed Amount |
202306.45 |
Total Medical Medicare Payment Amount |
145898.67 |
Total Medical Medicare Standardized Payment Amount |
148509.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
173 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
136 |
Number Of Non Hispanic White Beneficiaries |
349 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.018 |