National Provider Identifier [NPI]: |
1982610267 |
Last Name Of The Provider |
SAVRAN |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3150 N TENAYA WAY |
Street Address 2 Of The Provider |
STE 320 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891280443 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
32520 |
Number Of Medicare Beneficiaries |
1277 |
Total Submitted Charge Amount |
3127996 |
Total Medicare Allowed Amount |
1015661.01 |
Total Medicare Payment Amount |
753143.37 |
Total Medicare Standardized Payment Amount |
750816.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
25586 |
Number Of Medicare Beneficiaries With Drug Services |
332 |
Total Drug Submitted ChargeAmount |
124705 |
Total Drug Medicare AllowedAmount |
51384.83 |
Total Drug Medicare PaymentAmount |
38600.5 |
Total Drug Medicare Standardized Payment Amount |
38600.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
113 |
Number Of Medical Services |
6934 |
Number Of Medicare Beneficiaries With Medical Services |
1277 |
Total Medical Submitted Charge Amount |
3003291 |
Total Medical Medicare Allowed Amount |
964276.18 |
Total Medical Medicare Payment Amount |
714542.87 |
Total Medical Medicare Standardized Payment Amount |
712216.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
553 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
575 |
Number Of Male Beneficiaries |
702 |
Number Of Non Hispanic White Beneficiaries |
1051 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
87 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5193 |