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 |