National Provider Identifier [NPI]: |
1083796080 |
Last Name Of The Provider |
SINENSE |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7620 W BURLEIGH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532225002 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
27914 |
Number Of Medicare Beneficiaries |
394 |
Total Submitted Charge Amount |
1513079.58 |
Total Medicare Allowed Amount |
607412.87 |
Total Medicare Payment Amount |
562882.58 |
Total Medicare Standardized Payment Amount |
418526.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1650 |
Total Drug Medicare AllowedAmount |
248.89 |
Total Drug Medicare PaymentAmount |
206.71 |
Total Drug Medicare Standardized Payment Amount |
206.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
27813 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
1511429.58 |
Total Medical Medicare Allowed Amount |
607163.98 |
Total Medical Medicare Payment Amount |
562675.87 |
Total Medical Medicare Standardized Payment Amount |
418319.88 |
Average Age Of Beneficiaries |
54 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
117 |
Number Of Black or African American Beneficiaries |
254 |
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 |
62 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
3 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3604 |