Medicare Facts for Dr. Saba W. Tesfamariam, MD


National Provider Identifier [NPI]: 1952347957
Last Name Of The Provider TESFAMARIAM
First Name Of The Provider SABA
Middle Initial Of The Provider W
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 432 N 44TH ST
Street Address 2 Of The Provider SUITE 310
City Of The Provider PHOENIX
Zip Code Of The Provider 850087601
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 20
Number Of Services 273
Number Of Medicare Beneficiaries 120
Total Submitted Charge Amount 65498.15
Total Medicare Allowed Amount 24936.06
Total Medicare Payment Amount 19517.95
Total Medicare Standardized Payment Amount 20078.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 273
Number Of Medicare Beneficiaries With Medical Services 120
Total Medical Submitted Charge Amount 65498.15
Total Medical Medicare Allowed Amount 24936.06
Total Medical Medicare Payment Amount 19517.95
Total Medical Medicare Standardized Payment Amount 20078.03
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 33
Number Of Beneficiaries Age 75 to 84 25
Number Of Beneficiaries Age Greater 84 38
Number Of Female Beneficiaries 57
Number Of Male Beneficiaries 63
Number Of Non Hispanic White Beneficiaries
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 86
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation 23
Percent Of With Alzheimers Disease or Dementia 15
Percent Of With Asthma 9
Percent Of With Cancer 18
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 53
Percent Of With Chronic Obstructive Pulmonary Disease 38
Percent Of With Depression 41
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 53
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.6669

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