Medicare Facts for Dr. Sanjay Sethi, MD


National Provider Identifier [NPI]: 1326081274
Last Name Of The Provider SETHI
First Name Of The Provider SANJAY
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1350 FIRST COLONY BLVD
Street Address 2 Of The Provider
City Of The Provider SUGAR LAND
Zip Code Of The Provider 774794308
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Medical Oncology
Medicare Participation Indicator Y
Number Of HCPCS 96
Number Of Services 43980
Number Of Medicare Beneficiaries 297
Total Submitted Charge Amount 2496393
Total Medicare Allowed Amount 604963.22
Total Medicare Payment Amount 472961.07
Total Medicare Standardized Payment Amount 481107.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 41
Number Of Drug Services 39185
Number Of Medicare Beneficiaries With Drug Services 54
Total Drug Submitted ChargeAmount 1662364
Total Drug Medicare AllowedAmount 368583.89
Total Drug Medicare PaymentAmount 288210.37
Total Drug Medicare Standardized Payment Amount 288210.37
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 55
Number Of Medical Services 4795
Number Of Medicare Beneficiaries With Medical Services 297
Total Medical Submitted Charge Amount 834029
Total Medical Medicare Allowed Amount 236379.33
Total Medical Medicare Payment Amount 184750.7
Total Medical Medicare Standardized Payment Amount 192896.83
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 136
Number Of Beneficiaries Age 75 to 84 89
Number Of Beneficiaries Age Greater 84 31
Number Of Female Beneficiaries 174
Number Of Male Beneficiaries 123
Number Of Non Hispanic White Beneficiaries 151
Number Of Black or African American Beneficiaries 87
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 38
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 207
Number Of Beneficiaries With Medicare Medicaid Entitlement 90
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 10
Percent Of With Cancer 41
Percent Of With Heart Failure 32
Percent Of With Chronic Kidney Disease 48
Percent Of With Chronic Obstructive Pulmonary Disease 28
Percent Of With Depression 22
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.5773

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