National Provider Identifier [NPI]: |
1902986466 |
Last Name Of The Provider |
SADDY |
First Name Of The Provider |
SHEHAB |
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 |
2 UPPER RAGSDALE DR |
Street Address 2 Of The Provider |
SUITE B240 |
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405736 |
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 |
48 |
Number Of Services |
7354 |
Number Of Medicare Beneficiaries |
678 |
Total Submitted Charge Amount |
524903 |
Total Medicare Allowed Amount |
382644.79 |
Total Medicare Payment Amount |
285415.53 |
Total Medicare Standardized Payment Amount |
277695.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
575 |
Number Of Medicare Beneficiaries With Drug Services |
230 |
Total Drug Submitted ChargeAmount |
52725 |
Total Drug Medicare AllowedAmount |
14633.68 |
Total Drug Medicare PaymentAmount |
11777.6 |
Total Drug Medicare Standardized Payment Amount |
11777.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6779 |
Number Of Medicare Beneficiaries With Medical Services |
678 |
Total Medical Submitted Charge Amount |
472178 |
Total Medical Medicare Allowed Amount |
368011.11 |
Total Medical Medicare Payment Amount |
273637.93 |
Total Medical Medicare Standardized Payment Amount |
265917.6 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
148 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3691 |