Medicare Facts for Dr. Carl G. Sestito, MD


National Provider Identifier [NPI]: 1477586758
Last Name Of The Provider SESTITO
First Name Of The Provider CARL
Middle Initial Of The Provider G
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1307 6TH AVE
Street Address 2 Of The Provider
City Of The Provider BEAVER FALLS
Zip Code Of The Provider 150104213
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 1051
Number Of Medicare Beneficiaries 280
Total Submitted Charge Amount 133506.31
Total Medicare Allowed Amount 76187.3
Total Medicare Payment Amount 53206.73
Total Medicare Standardized Payment Amount 55414.9
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 154
Number Of Medicare Beneficiaries With Drug Services 126
Total Drug Submitted ChargeAmount 4721
Total Drug Medicare AllowedAmount 2921.37
Total Drug Medicare PaymentAmount 2844.57
Total Drug Medicare Standardized Payment Amount 2844.57
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 897
Number Of Medicare Beneficiaries With Medical Services 280
Total Medical Submitted Charge Amount 128785.31
Total Medical Medicare Allowed Amount 73265.93
Total Medical Medicare Payment Amount 50362.16
Total Medical Medicare Standardized Payment Amount 52570.33
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 108
Number Of Beneficiaries Age 75 to 84 80
Number Of Beneficiaries Age Greater 84 68
Number Of Female Beneficiaries 164
Number Of Male Beneficiaries 116
Number Of Non Hispanic White Beneficiaries 261
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 242
Number Of Beneficiaries With Medicare Medicaid Entitlement 38
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 22
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.1961

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