National Provider Identifier [NPI]: |
1578619300 |
Last Name Of The Provider |
SAIGAL |
First Name Of The Provider |
SHASHI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4949 EUCLID |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
PALATINE |
Zip Code Of The Provider |
60067 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2266 |
Number Of Medicare Beneficiaries |
203 |
Total Submitted Charge Amount |
200455 |
Total Medicare Allowed Amount |
128672.08 |
Total Medicare Payment Amount |
90137.46 |
Total Medicare Standardized Payment Amount |
86103.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2791 |
Total Drug Medicare AllowedAmount |
1574.31 |
Total Drug Medicare PaymentAmount |
1471.69 |
Total Drug Medicare Standardized Payment Amount |
1471.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
2202 |
Number Of Medicare Beneficiaries With Medical Services |
203 |
Total Medical Submitted Charge Amount |
197664 |
Total Medical Medicare Allowed Amount |
127097.77 |
Total Medical Medicare Payment Amount |
88665.77 |
Total Medical Medicare Standardized Payment Amount |
84631.36 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
174 |
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 |
178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.766 |