Medicare Facts for Dr. Ajay Sehgal, MD


National Provider Identifier [NPI]: 1164529806
Last Name Of The Provider SEHGAL
First Name Of The Provider AJAY
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1415 SANTA FE ST
Street Address 2 Of The Provider SUITE C
City Of The Provider CORPUS CHRISTI
Zip Code Of The Provider 784042105
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 79
Number Of Services 137755
Number Of Medicare Beneficiaries 426
Total Submitted Charge Amount 2265456.24
Total Medicare Allowed Amount 1365618.56
Total Medicare Payment Amount 1018415.42
Total Medicare Standardized Payment Amount 1028736.31
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 48
Number Of Drug Services 132400
Number Of Medicare Beneficiaries With Drug Services 103
Total Drug Submitted ChargeAmount 1578326.24
Total Drug Medicare AllowedAmount 1024101.19
Total Drug Medicare PaymentAmount 766407.98
Total Drug Medicare Standardized Payment Amount 766407.98
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 5355
Number Of Medicare Beneficiaries With Medical Services 426
Total Medical Submitted Charge Amount 687130
Total Medical Medicare Allowed Amount 341517.37
Total Medical Medicare Payment Amount 252007.44
Total Medical Medicare Standardized Payment Amount 262328.33
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 52
Number Of Beneficiaries Age 65 to 74 200
Number Of Beneficiaries Age 75 to 84 132
Number Of Beneficiaries Age Greater 84 42
Number Of Female Beneficiaries 224
Number Of Male Beneficiaries 202
Number Of Non Hispanic White Beneficiaries 240
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 165
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 323
Number Of Beneficiaries With Medicare Medicaid Entitlement 103
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 10
Percent Of With Cancer 42
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease 39
Percent Of With Chronic Obstructive Pulmonary Disease 30
Percent Of With Depression 24
Percent Of With Diabetes 48
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.9462

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