National Provider Identifier [NPI]: |
1922216431 |
Last Name Of The Provider |
SVATEK |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8300 FLOYD CURL DR |
Street Address 2 Of The Provider |
4TH FLOOR |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782293931 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
1447 |
Number Of Medicare Beneficiaries |
225 |
Total Submitted Charge Amount |
625652 |
Total Medicare Allowed Amount |
210495.34 |
Total Medicare Payment Amount |
160755.68 |
Total Medicare Standardized Payment Amount |
164669.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
572 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
127484 |
Total Drug Medicare AllowedAmount |
47567.36 |
Total Drug Medicare PaymentAmount |
37293.12 |
Total Drug Medicare Standardized Payment Amount |
37293.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
875 |
Number Of Medicare Beneficiaries With Medical Services |
225 |
Total Medical Submitted Charge Amount |
498168 |
Total Medical Medicare Allowed Amount |
162927.98 |
Total Medical Medicare Payment Amount |
123462.56 |
Total Medical Medicare Standardized Payment Amount |
127376.53 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
54 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
146 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.8201 |