National Provider Identifier [NPI]: |
1619932241 |
Last Name Of The Provider |
SEKILI |
First Name Of The Provider |
SELIM |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 GESSNER RD |
Street Address 2 Of The Provider |
SUITE 525 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242545 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2608 |
Number Of Medicare Beneficiaries |
745 |
Total Submitted Charge Amount |
242092.91 |
Total Medicare Allowed Amount |
216083.24 |
Total Medicare Payment Amount |
160034.69 |
Total Medicare Standardized Payment Amount |
154323.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
132 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
18744 |
Total Drug Medicare AllowedAmount |
6986.79 |
Total Drug Medicare PaymentAmount |
5477.66 |
Total Drug Medicare Standardized Payment Amount |
5477.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2476 |
Number Of Medicare Beneficiaries With Medical Services |
745 |
Total Medical Submitted Charge Amount |
223348.91 |
Total Medical Medicare Allowed Amount |
209096.45 |
Total Medical Medicare Payment Amount |
154557.03 |
Total Medical Medicare Standardized Payment Amount |
148846.21 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
256 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
599 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8461 |