National Provider Identifier [NPI]: |
1902883291 |
Last Name Of The Provider |
SASH |
First Name Of The Provider |
KARL |
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 |
3801 BELLEMEADE AVE |
Street Address 2 Of The Provider |
SUITE 200E |
City Of The Provider |
EVANSVILLE |
Zip Code Of The Provider |
477140100 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
8181 |
Number Of Medicare Beneficiaries |
1027 |
Total Submitted Charge Amount |
904611 |
Total Medicare Allowed Amount |
386797.14 |
Total Medicare Payment Amount |
285603.32 |
Total Medicare Standardized Payment Amount |
301248.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2714 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
48011 |
Total Drug Medicare AllowedAmount |
12925.17 |
Total Drug Medicare PaymentAmount |
10155.37 |
Total Drug Medicare Standardized Payment Amount |
10155.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5467 |
Number Of Medicare Beneficiaries With Medical Services |
1027 |
Total Medical Submitted Charge Amount |
856600 |
Total Medical Medicare Allowed Amount |
373871.97 |
Total Medical Medicare Payment Amount |
275447.95 |
Total Medical Medicare Standardized Payment Amount |
291092.86 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
343 |
Number Of Female Beneficiaries |
650 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
985 |
Number Of Black or African American Beneficiaries |
29 |
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 |
864 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6139 |