National Provider Identifier [NPI]: |
1427045517 |
Last Name Of The Provider |
SAILORS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
195 KING AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062963 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
3566 |
Number Of Medicare Beneficiaries |
1513 |
Total Submitted Charge Amount |
2681587.47 |
Total Medicare Allowed Amount |
1003409.38 |
Total Medicare Payment Amount |
753880.25 |
Total Medicare Standardized Payment Amount |
842453 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
3566 |
Number Of Medicare Beneficiaries With Medical Services |
1513 |
Total Medical Submitted Charge Amount |
2681587.47 |
Total Medical Medicare Allowed Amount |
1003409.38 |
Total Medical Medicare Payment Amount |
753880.25 |
Total Medical Medicare Standardized Payment Amount |
842453 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
582 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
767 |
Number Of Male Beneficiaries |
746 |
Number Of Non Hispanic White Beneficiaries |
1238 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
390 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.2843 |