National Provider Identifier [NPI]: |
1477614790 |
Last Name Of The Provider |
SADDA |
First Name Of The Provider |
SRINIVAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
625 S FAIR OAKS AVE |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911052613 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
6925 |
Number Of Medicare Beneficiaries |
587 |
Total Submitted Charge Amount |
3066046.5 |
Total Medicare Allowed Amount |
884316.72 |
Total Medicare Payment Amount |
673220.3 |
Total Medicare Standardized Payment Amount |
650043.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
936 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
1404195 |
Total Drug Medicare AllowedAmount |
493438.39 |
Total Drug Medicare PaymentAmount |
386854.96 |
Total Drug Medicare Standardized Payment Amount |
386854.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
5989 |
Number Of Medicare Beneficiaries With Medical Services |
587 |
Total Medical Submitted Charge Amount |
1661851.5 |
Total Medical Medicare Allowed Amount |
390878.33 |
Total Medical Medicare Payment Amount |
286365.34 |
Total Medical Medicare Standardized Payment Amount |
263189 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
374 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4886 |