National Provider Identifier [NPI]: |
1326066218 |
Last Name Of The Provider |
SEHGAL |
First Name Of The Provider |
SANDEEP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 ROOSEVELT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
VALPARAISO |
Zip Code Of The Provider |
463832800 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
7863 |
Number Of Medicare Beneficiaries |
1521 |
Total Submitted Charge Amount |
3013034 |
Total Medicare Allowed Amount |
925748.51 |
Total Medicare Payment Amount |
692593.7 |
Total Medicare Standardized Payment Amount |
748095.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
662 |
Number Of Medicare Beneficiaries With Drug Services |
175 |
Total Drug Submitted ChargeAmount |
80848 |
Total Drug Medicare AllowedAmount |
34393.77 |
Total Drug Medicare PaymentAmount |
26051.32 |
Total Drug Medicare Standardized Payment Amount |
26051.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
7201 |
Number Of Medicare Beneficiaries With Medical Services |
1521 |
Total Medical Submitted Charge Amount |
2932186 |
Total Medical Medicare Allowed Amount |
891354.74 |
Total Medical Medicare Payment Amount |
666542.38 |
Total Medical Medicare Standardized Payment Amount |
722044.34 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
299 |
Number Of Female Beneficiaries |
772 |
Number Of Male Beneficiaries |
749 |
Number Of Non Hispanic White Beneficiaries |
1469 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1348 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6259 |