Medicare Facts for Dr. Prithipal S. Sethi, MD


National Provider Identifier [NPI]: 1174710578
Last Name Of The Provider SETHI
First Name Of The Provider PRITHIPAL
Middle Initial Of The Provider S
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1805 N CALIFORNIA ST
Street Address 2 Of The Provider SUITE 407
City Of The Provider STOCKTON
Zip Code Of The Provider 952046037
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 87
Number Of Services 11417
Number Of Medicare Beneficiaries 912
Total Submitted Charge Amount 2152760
Total Medicare Allowed Amount 860686.21
Total Medicare Payment Amount 654270.17
Total Medicare Standardized Payment Amount 633304.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 3623
Number Of Medicare Beneficiaries With Drug Services 120
Total Drug Submitted ChargeAmount 242890
Total Drug Medicare AllowedAmount 114353.68
Total Drug Medicare PaymentAmount 88868.41
Total Drug Medicare Standardized Payment Amount 88868.41
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 80
Number Of Medical Services 7794
Number Of Medicare Beneficiaries With Medical Services 912
Total Medical Submitted Charge Amount 1909870
Total Medical Medicare Allowed Amount 746332.53
Total Medical Medicare Payment Amount 565401.76
Total Medical Medicare Standardized Payment Amount 544436.11
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 134
Number Of Beneficiaries Age 65 to 74 387
Number Of Beneficiaries Age 75 to 84 273
Number Of Beneficiaries Age Greater 84 118
Number Of Female Beneficiaries 203
Number Of Male Beneficiaries 709
Number Of Non Hispanic White Beneficiaries 445
Number Of Black or African American Beneficiaries 102
Number Of AsianPacific Islander Beneficiaries 109
Number Of Hispanic Beneficiaries 231
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 522
Number Of Beneficiaries With Medicare Medicaid Entitlement 390
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 8
Percent Of With Cancer 23
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 18
Percent Of With Diabetes 41
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.4398

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