National Provider Identifier [NPI]: |
1871596361 |
Last Name Of The Provider |
SEADE |
First Name Of The Provider |
LOUIS |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4611 GUADALUPE ST |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787512908 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
2911 |
Number Of Medicare Beneficiaries |
493 |
Total Submitted Charge Amount |
1783690.85 |
Total Medicare Allowed Amount |
319983.69 |
Total Medicare Payment Amount |
239647.98 |
Total Medicare Standardized Payment Amount |
246993.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
662 |
Number Of Medicare Beneficiaries With Drug Services |
297 |
Total Drug Submitted ChargeAmount |
11180 |
Total Drug Medicare AllowedAmount |
3764.86 |
Total Drug Medicare PaymentAmount |
2780.24 |
Total Drug Medicare Standardized Payment Amount |
2780.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2249 |
Number Of Medicare Beneficiaries With Medical Services |
493 |
Total Medical Submitted Charge Amount |
1772510.85 |
Total Medical Medicare Allowed Amount |
316218.83 |
Total Medical Medicare Payment Amount |
236867.74 |
Total Medical Medicare Standardized Payment Amount |
244213.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
414 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
471 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9587 |