National Provider Identifier [NPI]: |
1770608275 |
Last Name Of The Provider |
SADEGHINIA |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1665 TORREY PINES RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920373735 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
3296 |
Number Of Medicare Beneficiaries |
1090 |
Total Submitted Charge Amount |
806939.06 |
Total Medicare Allowed Amount |
449015.67 |
Total Medicare Payment Amount |
349464.41 |
Total Medicare Standardized Payment Amount |
342513.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
392 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
29400 |
Total Drug Medicare AllowedAmount |
20738.87 |
Total Drug Medicare PaymentAmount |
16195.51 |
Total Drug Medicare Standardized Payment Amount |
16195.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2904 |
Number Of Medicare Beneficiaries With Medical Services |
1090 |
Total Medical Submitted Charge Amount |
777539.06 |
Total Medical Medicare Allowed Amount |
428276.8 |
Total Medical Medicare Payment Amount |
333268.9 |
Total Medical Medicare Standardized Payment Amount |
326318.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
409 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
805 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
229 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
865 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6309 |