| National Provider Identifier [NPI]: | 1740384130 |
| Last Name Of The Provider | SAGERMAN |
| First Name Of The Provider | PAUL |
| 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 | 4582 N 1ST AVE |
| Street Address 2 Of The Provider | SUITE 120 |
| City Of The Provider | TUCSON |
| Zip Code Of The Provider | 857188602 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 20 |
| Number Of Services | 17883 |
| Number Of Medicare Beneficiaries | 7997 |
| Total Submitted Charge Amount | 2486707 |
| Total Medicare Allowed Amount | 1168190.49 |
| Total Medicare Payment Amount | 894364.6 |
| Total Medicare Standardized Payment Amount | 722076.54 |
| 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 | 20 |
| Number Of Medical Services | 17883 |
| Number Of Medicare Beneficiaries With Medical Services | 7997 |
| Total Medical Submitted Charge Amount | 2486707 |
| Total Medical Medicare Allowed Amount | 1168190.49 |
| Total Medical Medicare Payment Amount | 894364.6 |
| Total Medical Medicare Standardized Payment Amount | 722076.54 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 177 |
| Number Of Beneficiaries Age 65 to 74 | 3420 |
| Number Of Beneficiaries Age 75 to 84 | 3069 |
| Number Of Beneficiaries Age Greater 84 | 1331 |
| Number Of Female Beneficiaries | 3695 |
| Number Of Male Beneficiaries | 4302 |
| Number Of Non Hispanic White Beneficiaries | 7653 |
| Number Of Black or African American Beneficiaries | 19 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 193 |
| Number Of American Indian Alaska Native Beneficiaries | 13 |
| Number Of Beneficiaries With Race Not Else where Classified | 93 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7813 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 184 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 8 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 19 |
| Percent Of With Hyperlipidemia | 52 |
| Percent Of With Hypertension | 57 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 32 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 0.9528 |