National Provider Identifier [NPI]: |
1306843412 |
Last Name Of The Provider |
SBAHI |
First Name Of The Provider |
SUBHI |
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 |
18303 E 10 MILE RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ROSEVILLE |
Zip Code Of The Provider |
480664988 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
4914 |
Number Of Medicare Beneficiaries |
1554 |
Total Submitted Charge Amount |
682910 |
Total Medicare Allowed Amount |
467648.08 |
Total Medicare Payment Amount |
353684.89 |
Total Medicare Standardized Payment Amount |
345708.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
449 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
23054 |
Total Drug Medicare AllowedAmount |
18507.42 |
Total Drug Medicare PaymentAmount |
14374.75 |
Total Drug Medicare Standardized Payment Amount |
14374.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
4465 |
Number Of Medicare Beneficiaries With Medical Services |
1553 |
Total Medical Submitted Charge Amount |
659856 |
Total Medical Medicare Allowed Amount |
449140.66 |
Total Medical Medicare Payment Amount |
339310.14 |
Total Medical Medicare Standardized Payment Amount |
331333.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
386 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
628 |
Number Of Non Hispanic White Beneficiaries |
1388 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9801 |