National Provider Identifier [NPI]: |
1780790253 |
Last Name Of The Provider |
SARANTE |
First Name Of The Provider |
ANA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MEDICAL DOCTOR |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1645 LIBERTY RD STE 204 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELDERSBURG |
Zip Code Of The Provider |
217846542 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2088 |
Number Of Medicare Beneficiaries |
451 |
Total Submitted Charge Amount |
258095 |
Total Medicare Allowed Amount |
158363.75 |
Total Medicare Payment Amount |
117997.8 |
Total Medicare Standardized Payment Amount |
110329.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
6612 |
Total Drug Medicare AllowedAmount |
4404.74 |
Total Drug Medicare PaymentAmount |
4310.37 |
Total Drug Medicare Standardized Payment Amount |
4310.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1975 |
Number Of Medicare Beneficiaries With Medical Services |
451 |
Total Medical Submitted Charge Amount |
251483 |
Total Medical Medicare Allowed Amount |
153959.01 |
Total Medical Medicare Payment Amount |
113687.43 |
Total Medical Medicare Standardized Payment Amount |
106019.35 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
141 |
Number Of Non Hispanic White Beneficiaries |
425 |
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 |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.1921 |