National Provider Identifier [NPI]: |
1003862889 |
Last Name Of The Provider |
SZETO |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1102 GOODYEAR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GADSDEN |
Zip Code Of The Provider |
359032008 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
6230 |
Number Of Medicare Beneficiaries |
2007 |
Total Submitted Charge Amount |
1036780 |
Total Medicare Allowed Amount |
469189.99 |
Total Medicare Payment Amount |
348347.36 |
Total Medicare Standardized Payment Amount |
380823.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
526 |
Number Of Medicare Beneficiaries With Drug Services |
121 |
Total Drug Submitted ChargeAmount |
33122 |
Total Drug Medicare AllowedAmount |
25748.66 |
Total Drug Medicare PaymentAmount |
19904.69 |
Total Drug Medicare Standardized Payment Amount |
19904.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
5704 |
Number Of Medicare Beneficiaries With Medical Services |
2007 |
Total Medical Submitted Charge Amount |
1003658 |
Total Medical Medicare Allowed Amount |
443441.33 |
Total Medical Medicare Payment Amount |
328442.67 |
Total Medical Medicare Standardized Payment Amount |
360918.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
330 |
Number Of Beneficiaries Age 65 to 74 |
737 |
Number Of Beneficiaries Age 75 to 84 |
649 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
1056 |
Number Of Male Beneficiaries |
951 |
Number Of Non Hispanic White Beneficiaries |
1874 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
1560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
447 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5799 |