Medicare Facts for Dr. Sonal Sethi, MD


National Provider Identifier [NPI]: 1437348281
Last Name Of The Provider SETHI
First Name Of The Provider SONAL
Middle Initial Of The Provider
Credentials Of The Provider M.D
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 10970 SHADOW CREEK PKWY
Street Address 2 Of The Provider SUITE 280
City Of The Provider PEARLAND
Zip Code Of The Provider 775840100
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Medical Oncology
Medicare Participation Indicator Y
Number Of HCPCS 101
Number Of Services 35405
Number Of Medicare Beneficiaries 154
Total Submitted Charge Amount 1244468
Total Medicare Allowed Amount 350672.97
Total Medicare Payment Amount 272870.27
Total Medicare Standardized Payment Amount 272417.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 42
Number Of Drug Services 33005
Number Of Medicare Beneficiaries With Drug Services 39
Total Drug Submitted ChargeAmount 900687
Total Drug Medicare AllowedAmount 260262.39
Total Drug Medicare PaymentAmount 202909.74
Total Drug Medicare Standardized Payment Amount 202909.74
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 59
Number Of Medical Services 2400
Number Of Medicare Beneficiaries With Medical Services 154
Total Medical Submitted Charge Amount 343781
Total Medical Medicare Allowed Amount 90410.58
Total Medical Medicare Payment Amount 69960.53
Total Medical Medicare Standardized Payment Amount 69507.29
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 19
Number Of Beneficiaries Age 65 to 74 65
Number Of Beneficiaries Age 75 to 84 49
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 116
Number Of Male Beneficiaries 38
Number Of Non Hispanic White Beneficiaries 117
Number Of Black or African American Beneficiaries 18
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 132
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 16
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 48
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 21
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 19
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.8244

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