National Provider Identifier [NPI]: |
1225246796 |
Last Name Of The Provider |
SAGAR |
First Name Of The Provider |
UTPAL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 FORUM WAY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334012325 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
5810 |
Number Of Medicare Beneficiaries |
2151 |
Total Submitted Charge Amount |
681849 |
Total Medicare Allowed Amount |
435048.55 |
Total Medicare Payment Amount |
332821.51 |
Total Medicare Standardized Payment Amount |
320890.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
126 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
6930 |
Total Drug Medicare AllowedAmount |
6673.59 |
Total Drug Medicare PaymentAmount |
5109.13 |
Total Drug Medicare Standardized Payment Amount |
5109.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5684 |
Number Of Medicare Beneficiaries With Medical Services |
2151 |
Total Medical Submitted Charge Amount |
674919 |
Total Medical Medicare Allowed Amount |
428374.96 |
Total Medical Medicare Payment Amount |
327712.38 |
Total Medical Medicare Standardized Payment Amount |
315781.43 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
729 |
Number Of Beneficiaries Age Greater 84 |
677 |
Number Of Female Beneficiaries |
1108 |
Number Of Male Beneficiaries |
1043 |
Number Of Non Hispanic White Beneficiaries |
1743 |
Number Of Black or African American Beneficiaries |
216 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
154 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
516 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1059 |