Medicare Facts for Sergei G. Shatillo, PA-C


National Provider Identifier [NPI]: 1083698153
Last Name Of The Provider SHATILLO
First Name Of The Provider SERGEI
Middle Initial Of The Provider G
Credentials Of The Provider P.A.-C.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 13400 E SHEA BLVD
Street Address 2 Of The Provider
City Of The Provider SCOTTSDALE
Zip Code Of The Provider 852595404
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 173
Number Of Medicare Beneficiaries 45
Total Submitted Charge Amount 16316.45
Total Medicare Allowed Amount 15267.25
Total Medicare Payment Amount 11670.73
Total Medicare Standardized Payment Amount 14183.65
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 10
Number Of Medical Services 173
Number Of Medicare Beneficiaries With Medical Services 45
Total Medical Submitted Charge Amount 16316.45
Total Medical Medicare Allowed Amount 15267.25
Total Medical Medicare Payment Amount 11670.73
Total Medical Medicare Standardized Payment Amount 14183.65
Average Age Of Beneficiaries 65
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 24
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 34
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 33
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 75
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 33
Percent Of With Diabetes 44
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 3.5273

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