Medicare Facts for Dr. Sumi Sexton, MD


National Provider Identifier [NPI]: 1649227521
Last Name Of The Provider SEXTON
First Name Of The Provider SUMI
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 200 N GLEBE RD
Street Address 2 Of The Provider STE 300
City Of The Provider ARLINGTON
Zip Code Of The Provider 222033728
State Code Of The Provider VA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 370
Number Of Medicare Beneficiaries 97
Total Submitted Charge Amount 64441.5
Total Medicare Allowed Amount 30219.52
Total Medicare Payment Amount 20653.13
Total Medicare Standardized Payment Amount 19587.72
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 28
Number Of Medicare Beneficiaries With Drug Services 24
Total Drug Submitted ChargeAmount 3331.5
Total Drug Medicare AllowedAmount 1397.74
Total Drug Medicare PaymentAmount 1260.03
Total Drug Medicare Standardized Payment Amount 1260.03
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 32
Number Of Medical Services 342
Number Of Medicare Beneficiaries With Medical Services 97
Total Medical Submitted Charge Amount 61110
Total Medical Medicare Allowed Amount 28821.78
Total Medical Medicare Payment Amount 19393.1
Total Medical Medicare Standardized Payment Amount 18327.69
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 57
Number Of Beneficiaries Age 75 to 84 19
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 74
Number Of Male Beneficiaries 23
Number Of Non Hispanic White Beneficiaries 71
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 13
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 84
Number Of Beneficiaries With Medicare Medicaid Entitlement 13
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 23
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 11
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.6463

Doctor Directory | TOS | twitter | FB | Angel | blog