National Provider Identifier [NPI]: |
1801888441 |
Last Name Of The Provider |
SEHGAL |
First Name Of The Provider |
MARK |
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 |
1401 E VAN BUREN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALESTER |
Zip Code Of The Provider |
74502 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
1675 |
Number Of Medicare Beneficiaries |
727 |
Total Submitted Charge Amount |
383610 |
Total Medicare Allowed Amount |
167810.11 |
Total Medicare Payment Amount |
118865.54 |
Total Medicare Standardized Payment Amount |
125021.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
1180 |
Total Drug Medicare AllowedAmount |
849.71 |
Total Drug Medicare PaymentAmount |
832.7 |
Total Drug Medicare Standardized Payment Amount |
832.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
1631 |
Number Of Medicare Beneficiaries With Medical Services |
727 |
Total Medical Submitted Charge Amount |
382430 |
Total Medical Medicare Allowed Amount |
166960.4 |
Total Medical Medicare Payment Amount |
118032.84 |
Total Medical Medicare Standardized Payment Amount |
124188.49 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
663 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
43 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1688 |