Medicare Facts for Dr. Prabhat Seth, MD


National Provider Identifier [NPI]: 1356383277
Last Name Of The Provider SETH
First Name Of The Provider PRABHAT
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1430 LINCOLN WAY
Street Address 2 Of The Provider
City Of The Provider MCKEESPORT
Zip Code Of The Provider 151311606
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 53
Number Of Services 2539
Number Of Medicare Beneficiaries 158
Total Submitted Charge Amount 194207.93
Total Medicare Allowed Amount 165002.99
Total Medicare Payment Amount 123301.64
Total Medicare Standardized Payment Amount 127297.22
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 214
Number Of Medicare Beneficiaries With Drug Services 95
Total Drug Submitted ChargeAmount 9472
Total Drug Medicare AllowedAmount 7605.62
Total Drug Medicare PaymentAmount 7409.71
Total Drug Medicare Standardized Payment Amount 7409.71
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 2325
Number Of Medicare Beneficiaries With Medical Services 158
Total Medical Submitted Charge Amount 184735.93
Total Medical Medicare Allowed Amount 157397.37
Total Medical Medicare Payment Amount 115891.93
Total Medical Medicare Standardized Payment Amount 119887.51
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 43
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 50
Number Of Female Beneficiaries 98
Number Of Male Beneficiaries 60
Number Of Non Hispanic White Beneficiaries 126
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 129
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 8
Percent Of With Cancer
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 24
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.4772

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