National Provider Identifier [NPI]: |
1467407221 |
Last Name Of The Provider |
SAJID-CROCKETT |
First Name Of The Provider |
SAIMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
SIERRA ENDOCRINE ASSOCIATES MEDICAL GROUP |
Street Address 2 Of The Provider |
7230 N. MILLBROOK AVE. |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203340 |
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 |
73 |
Number Of Services |
11028 |
Number Of Medicare Beneficiaries |
1269 |
Total Submitted Charge Amount |
699797.66 |
Total Medicare Allowed Amount |
427270.75 |
Total Medicare Payment Amount |
339426.93 |
Total Medicare Standardized Payment Amount |
331804.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2933 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
179450 |
Total Drug Medicare AllowedAmount |
69922.8 |
Total Drug Medicare PaymentAmount |
54199.13 |
Total Drug Medicare Standardized Payment Amount |
54199.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
8095 |
Number Of Medicare Beneficiaries With Medical Services |
1269 |
Total Medical Submitted Charge Amount |
520347.66 |
Total Medical Medicare Allowed Amount |
357347.95 |
Total Medical Medicare Payment Amount |
285227.8 |
Total Medical Medicare Standardized Payment Amount |
277604.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
671 |
Number Of Beneficiaries Age 75 to 84 |
404 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
920 |
Number Of Male Beneficiaries |
349 |
Number Of Non Hispanic White Beneficiaries |
1014 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1221 |
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 |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1997 |