National Provider Identifier [NPI]: |
1649205741 |
Last Name Of The Provider |
SAJADI |
First Name Of The Provider |
KAVEH |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 FOUNTAIN CT |
Street Address 2 Of The Provider |
SUITE 180 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405091895 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
1720 |
Number Of Medicare Beneficiaries |
417 |
Total Submitted Charge Amount |
804433.1 |
Total Medicare Allowed Amount |
209408.47 |
Total Medicare Payment Amount |
158347.27 |
Total Medicare Standardized Payment Amount |
172769.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
171 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
5034 |
Total Drug Medicare AllowedAmount |
902.48 |
Total Drug Medicare PaymentAmount |
642.21 |
Total Drug Medicare Standardized Payment Amount |
642.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1549 |
Number Of Medicare Beneficiaries With Medical Services |
417 |
Total Medical Submitted Charge Amount |
799399.1 |
Total Medical Medicare Allowed Amount |
208505.99 |
Total Medical Medicare Payment Amount |
157705.06 |
Total Medical Medicare Standardized Payment Amount |
172127.13 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
395 |
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 |
369 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
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 |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0717 |