National Provider Identifier [NPI]: |
1083637870 |
Last Name Of The Provider |
SABERI |
First Name Of The Provider |
SARA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 EAST MEDICAL CENTER DR |
Street Address 2 Of The Provider |
3RD FLOOR CARDIOVASCULAR CENTER |
City Of The Provider |
ANN ARBOR |
Zip Code Of The Provider |
481095856 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2341 |
Number Of Medicare Beneficiaries |
1548 |
Total Submitted Charge Amount |
524279 |
Total Medicare Allowed Amount |
99074.95 |
Total Medicare Payment Amount |
72651.14 |
Total Medicare Standardized Payment Amount |
71748.26 |
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 |
29 |
Number Of Medical Services |
2341 |
Number Of Medicare Beneficiaries With Medical Services |
1548 |
Total Medical Submitted Charge Amount |
524279 |
Total Medical Medicare Allowed Amount |
99074.95 |
Total Medical Medicare Payment Amount |
72651.14 |
Total Medical Medicare Standardized Payment Amount |
71748.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
363 |
Number Of Beneficiaries Age 65 to 74 |
642 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
771 |
Number Of Male Beneficiaries |
777 |
Number Of Non Hispanic White Beneficiaries |
1287 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1194 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1744 |