Medicare Facts for Dr. Zachary K. Segal, MD


National Provider Identifier [NPI]: 1881630887
Last Name Of The Provider SEGAL
First Name Of The Provider ZACHARY
Middle Initial Of The Provider K
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5950 SUNSET DR
Street Address 2 Of The Provider
City Of The Provider SOUTH MIAMI
Zip Code Of The Provider 331435188
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 50
Number Of Services 5131
Number Of Medicare Beneficiaries 487
Total Submitted Charge Amount 1067499.6
Total Medicare Allowed Amount 542557.1
Total Medicare Payment Amount 413434.87
Total Medicare Standardized Payment Amount 388984.07
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 202
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 95890
Total Drug Medicare AllowedAmount 74971.48
Total Drug Medicare PaymentAmount 58649.38
Total Drug Medicare Standardized Payment Amount 58649.38
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 4929
Number Of Medicare Beneficiaries With Medical Services 487
Total Medical Submitted Charge Amount 971609.6
Total Medical Medicare Allowed Amount 467585.62
Total Medical Medicare Payment Amount 354785.49
Total Medical Medicare Standardized Payment Amount 330334.69
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 60
Number Of Beneficiaries Age 65 to 74 203
Number Of Beneficiaries Age 75 to 84 151
Number Of Beneficiaries Age Greater 84 73
Number Of Female Beneficiaries 299
Number Of Male Beneficiaries 188
Number Of Non Hispanic White Beneficiaries 228
Number Of Black or African American Beneficiaries 55
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 183
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 288
Number Of Beneficiaries With Medicare Medicaid Entitlement 199
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 7
Percent Of With Cancer 11
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 19
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 42
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.4517

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