National Provider Identifier [NPI]: |
1770540312 |
Last Name Of The Provider |
SAITO |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77-311 SUNSET DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
KAILUA-KONA |
Zip Code Of The Provider |
96745 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
6330 |
Number Of Medicare Beneficiaries |
1459 |
Total Submitted Charge Amount |
967447 |
Total Medicare Allowed Amount |
198277.99 |
Total Medicare Payment Amount |
148326.99 |
Total Medicare Standardized Payment Amount |
137720.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3371 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
12189 |
Total Drug Medicare AllowedAmount |
1253.88 |
Total Drug Medicare PaymentAmount |
982.95 |
Total Drug Medicare Standardized Payment Amount |
982.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
2959 |
Number Of Medicare Beneficiaries With Medical Services |
1459 |
Total Medical Submitted Charge Amount |
955258 |
Total Medical Medicare Allowed Amount |
197024.11 |
Total Medical Medicare Payment Amount |
147344.04 |
Total Medical Medicare Standardized Payment Amount |
136737.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
669 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
821 |
Number Of Male Beneficiaries |
638 |
Number Of Non Hispanic White Beneficiaries |
876 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
363 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
128 |
Number Of Beneficiaries With Medicare Only Entitlement |
1155 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2811 |