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 |