National Provider Identifier [NPI]: |
1134294986 |
Last Name Of The Provider |
SIGEL |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1313 E HERNDON AVE |
Street Address 2 Of The Provider |
SUITE #202 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203306 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
13 |
Number Of Services |
1201 |
Number Of Medicare Beneficiaries |
278 |
Total Submitted Charge Amount |
65117.19 |
Total Medicare Allowed Amount |
64215.17 |
Total Medicare Payment Amount |
48904.37 |
Total Medicare Standardized Payment Amount |
66614.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
1585.51 |
Total Drug Medicare AllowedAmount |
1518.8 |
Total Drug Medicare PaymentAmount |
1483.13 |
Total Drug Medicare Standardized Payment Amount |
1483.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
10 |
Number Of Medical Services |
1088 |
Number Of Medicare Beneficiaries With Medical Services |
278 |
Total Medical Submitted Charge Amount |
63531.68 |
Total Medical Medicare Allowed Amount |
62696.37 |
Total Medical Medicare Payment Amount |
47421.24 |
Total Medical Medicare Standardized Payment Amount |
65131.22 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
256 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.884 |