National Provider Identifier [NPI]: |
1346333283 |
Last Name Of The Provider |
SAHAD |
First Name Of The Provider |
JESUS |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 S COULTER ST STE 204 |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791061767 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
11524 |
Number Of Medicare Beneficiaries |
1097 |
Total Submitted Charge Amount |
630337.94 |
Total Medicare Allowed Amount |
456489.31 |
Total Medicare Payment Amount |
349929.97 |
Total Medicare Standardized Payment Amount |
383931.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
834 |
Number Of Medicare Beneficiaries With Drug Services |
237 |
Total Drug Submitted ChargeAmount |
25690 |
Total Drug Medicare AllowedAmount |
10590.99 |
Total Drug Medicare PaymentAmount |
9704.7 |
Total Drug Medicare Standardized Payment Amount |
9704.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
10690 |
Number Of Medicare Beneficiaries With Medical Services |
1097 |
Total Medical Submitted Charge Amount |
604647.94 |
Total Medical Medicare Allowed Amount |
445898.32 |
Total Medical Medicare Payment Amount |
340225.27 |
Total Medical Medicare Standardized Payment Amount |
374226.33 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
398 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
585 |
Number Of Male Beneficiaries |
512 |
Number Of Non Hispanic White Beneficiaries |
976 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6836 |