Medicare Facts for Dr. Shikha Sethi, MD


National Provider Identifier [NPI]: 1326268087
Last Name Of The Provider SETHI
First Name Of The Provider SHIKHA
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 4780 N JOSEY LN
Street Address 2 Of The Provider
City Of The Provider CARROLLTON
Zip Code Of The Provider 750104615
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 5057
Number Of Medicare Beneficiaries 583
Total Submitted Charge Amount 1706281.2
Total Medicare Allowed Amount 347159.24
Total Medicare Payment Amount 262783.7
Total Medicare Standardized Payment Amount 253757.08
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1096
Number Of Medicare Beneficiaries With Drug Services 84
Total Drug Submitted ChargeAmount 34802.88
Total Drug Medicare AllowedAmount 12126.12
Total Drug Medicare PaymentAmount 9439.36
Total Drug Medicare Standardized Payment Amount 9439.36
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 77
Number Of Medical Services 3961
Number Of Medicare Beneficiaries With Medical Services 583
Total Medical Submitted Charge Amount 1671478.32
Total Medical Medicare Allowed Amount 335033.12
Total Medical Medicare Payment Amount 253344.34
Total Medical Medicare Standardized Payment Amount 244317.72
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 61
Number Of Beneficiaries Age 65 to 74 282
Number Of Beneficiaries Age 75 to 84 178
Number Of Beneficiaries Age Greater 84 62
Number Of Female Beneficiaries 396
Number Of Male Beneficiaries 187
Number Of Non Hispanic White Beneficiaries 440
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 52
Number Of Hispanic Beneficiaries 43
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 479
Number Of Beneficiaries With Medicare Medicaid Entitlement 104
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 12
Percent Of With Cancer 11
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 26
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.1567

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