National Provider Identifier [NPI]: |
1265644371 |
Last Name Of The Provider |
SAGHA |
First Name Of The Provider |
HAMID |
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 |
1518 MULBERRY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MUSCATINE |
Zip Code Of The Provider |
527613433 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
3031 |
Number Of Medicare Beneficiaries |
1311 |
Total Submitted Charge Amount |
1025811 |
Total Medicare Allowed Amount |
275030.52 |
Total Medicare Payment Amount |
196485.08 |
Total Medicare Standardized Payment Amount |
204815.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
312 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
502 |
Total Drug Medicare AllowedAmount |
219.79 |
Total Drug Medicare PaymentAmount |
142.71 |
Total Drug Medicare Standardized Payment Amount |
142.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2719 |
Number Of Medicare Beneficiaries With Medical Services |
1311 |
Total Medical Submitted Charge Amount |
1025309 |
Total Medical Medicare Allowed Amount |
274810.73 |
Total Medical Medicare Payment Amount |
196342.37 |
Total Medical Medicare Standardized Payment Amount |
204672.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
306 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
753 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
1163 |
Number Of Black or African American Beneficiaries |
123 |
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 |
827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
484 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6011 |