National Provider Identifier [NPI]: |
1699754796 |
Last Name Of The Provider |
SETH |
First Name Of The Provider |
SUMIT |
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 |
3525 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
STE 5360 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432143937 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
156 |
Number Of Services |
8716 |
Number Of Medicare Beneficiaries |
6185 |
Total Submitted Charge Amount |
955170 |
Total Medicare Allowed Amount |
236624.04 |
Total Medicare Payment Amount |
181888.56 |
Total Medicare Standardized Payment Amount |
188631.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
8716 |
Number Of Medicare Beneficiaries With Medical Services |
6185 |
Total Medical Submitted Charge Amount |
955170 |
Total Medical Medicare Allowed Amount |
236624.04 |
Total Medical Medicare Payment Amount |
181888.56 |
Total Medical Medicare Standardized Payment Amount |
188631.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1491 |
Number Of Beneficiaries Age 65 to 74 |
1828 |
Number Of Beneficiaries Age 75 to 84 |
1700 |
Number Of Beneficiaries Age Greater 84 |
1166 |
Number Of Female Beneficiaries |
3501 |
Number Of Male Beneficiaries |
2684 |
Number Of Non Hispanic White Beneficiaries |
5705 |
Number Of Black or African American Beneficiaries |
331 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
54 |
Number Of Beneficiaries With Medicare Only Entitlement |
4202 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1983 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8513 |