National Provider Identifier [NPI]: |
1386632776 |
Last Name Of The Provider |
SABATINI |
First Name Of The Provider |
LUIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5050 CRENSHAW ROAD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
775053139 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
4329 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
573206.25 |
Total Medicare Allowed Amount |
419507.62 |
Total Medicare Payment Amount |
322087.18 |
Total Medicare Standardized Payment Amount |
321343.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
2026.25 |
Total Drug Medicare AllowedAmount |
410.24 |
Total Drug Medicare PaymentAmount |
391.54 |
Total Drug Medicare Standardized Payment Amount |
391.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4271 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
571180 |
Total Medical Medicare Allowed Amount |
419097.38 |
Total Medical Medicare Payment Amount |
321695.64 |
Total Medical Medicare Standardized Payment Amount |
320951.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
158 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
372 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
239 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.7784 |