National Provider Identifier [NPI]: |
1679563050 |
Last Name Of The Provider |
SAX |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12951 SOUTH FWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770471923 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
5106 |
Number Of Medicare Beneficiaries |
3671 |
Total Submitted Charge Amount |
881456 |
Total Medicare Allowed Amount |
158381.43 |
Total Medicare Payment Amount |
121568.02 |
Total Medicare Standardized Payment Amount |
123068.43 |
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 |
143 |
Number Of Medical Services |
5106 |
Number Of Medicare Beneficiaries With Medical Services |
3671 |
Total Medical Submitted Charge Amount |
881456 |
Total Medical Medicare Allowed Amount |
158381.43 |
Total Medical Medicare Payment Amount |
121568.02 |
Total Medical Medicare Standardized Payment Amount |
123068.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
714 |
Number Of Beneficiaries Age 65 to 74 |
1264 |
Number Of Beneficiaries Age 75 to 84 |
1018 |
Number Of Beneficiaries Age Greater 84 |
675 |
Number Of Female Beneficiaries |
2065 |
Number Of Male Beneficiaries |
1606 |
Number Of Non Hispanic White Beneficiaries |
2394 |
Number Of Black or African American Beneficiaries |
748 |
Number Of AsianPacific Islander Beneficiaries |
125 |
Number Of Hispanic Beneficiaries |
366 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2798 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
873 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.7318 |