National Provider Identifier [NPI]: |
1922053776 |
Last Name Of The Provider |
SAGLIMBENI |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
455 OCONNOR DR |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951281633 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
2868 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
268329.96 |
Total Medicare Allowed Amount |
150759.64 |
Total Medicare Payment Amount |
110768.06 |
Total Medicare Standardized Payment Amount |
80767.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
303 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
8596.96 |
Total Drug Medicare AllowedAmount |
3371.95 |
Total Drug Medicare PaymentAmount |
2814.32 |
Total Drug Medicare Standardized Payment Amount |
2814.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2565 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
259733 |
Total Medical Medicare Allowed Amount |
147387.69 |
Total Medical Medicare Payment Amount |
107953.74 |
Total Medical Medicare Standardized Payment Amount |
77952.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
275 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9131 |