National Provider Identifier [NPI]: |
1528039393 |
Last Name Of The Provider |
SAAD |
First Name Of The Provider |
ROBERT |
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 |
4411 MEDICAL DR |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293824 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
6138 |
Number Of Medicare Beneficiaries |
1195 |
Total Submitted Charge Amount |
1212086 |
Total Medicare Allowed Amount |
466073.13 |
Total Medicare Payment Amount |
340466.9 |
Total Medicare Standardized Payment Amount |
361206.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
6812 |
Total Drug Medicare AllowedAmount |
2592.38 |
Total Drug Medicare PaymentAmount |
2032.39 |
Total Drug Medicare Standardized Payment Amount |
2032.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6089 |
Number Of Medicare Beneficiaries With Medical Services |
1195 |
Total Medical Submitted Charge Amount |
1205274 |
Total Medical Medicare Allowed Amount |
463480.75 |
Total Medical Medicare Payment Amount |
338434.51 |
Total Medical Medicare Standardized Payment Amount |
359173.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
535 |
Number Of Beneficiaries Age 75 to 84 |
362 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
628 |
Number Of Male Beneficiaries |
567 |
Number Of Non Hispanic White Beneficiaries |
863 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
268 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1079 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.695 |