National Provider Identifier [NPI]: |
1831165521 |
Last Name Of The Provider |
SABBAGH |
First Name Of The Provider |
EMILE |
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 |
25200 CENTER RIDGE RD |
Street Address 2 Of The Provider |
SUITE 2600 |
City Of The Provider |
WESTLAKE |
Zip Code Of The Provider |
441454141 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4898 |
Number Of Medicare Beneficiaries |
775 |
Total Submitted Charge Amount |
575600 |
Total Medicare Allowed Amount |
376174.1 |
Total Medicare Payment Amount |
288105.63 |
Total Medicare Standardized Payment Amount |
294280.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
228 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
912 |
Total Drug Medicare AllowedAmount |
345.01 |
Total Drug Medicare PaymentAmount |
330.11 |
Total Drug Medicare Standardized Payment Amount |
330.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
4670 |
Number Of Medicare Beneficiaries With Medical Services |
775 |
Total Medical Submitted Charge Amount |
574688 |
Total Medical Medicare Allowed Amount |
375829.09 |
Total Medical Medicare Payment Amount |
287775.52 |
Total Medical Medicare Standardized Payment Amount |
293950.62 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
286 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
724 |
Number Of Black or African American Beneficiaries |
24 |
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 |
572 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9209 |