National Provider Identifier [NPI]: |
1184881542 |
Last Name Of The Provider |
SETH |
First Name Of The Provider |
VINEET |
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 |
311 CAMDEN ST STE 208 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782152011 |
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 |
181 |
Number Of Services |
18121 |
Number Of Medicare Beneficiaries |
2803 |
Total Submitted Charge Amount |
1346271.05 |
Total Medicare Allowed Amount |
377946.87 |
Total Medicare Payment Amount |
287378.99 |
Total Medicare Standardized Payment Amount |
311012.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13940 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
18877.28 |
Total Drug Medicare AllowedAmount |
5330.17 |
Total Drug Medicare PaymentAmount |
3722.03 |
Total Drug Medicare Standardized Payment Amount |
3722.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
4181 |
Number Of Medicare Beneficiaries With Medical Services |
2802 |
Total Medical Submitted Charge Amount |
1327393.77 |
Total Medical Medicare Allowed Amount |
372616.7 |
Total Medical Medicare Payment Amount |
283656.96 |
Total Medical Medicare Standardized Payment Amount |
307290.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
661 |
Number Of Beneficiaries Age 65 to 74 |
1020 |
Number Of Beneficiaries Age 75 to 84 |
742 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
1707 |
Number Of Male Beneficiaries |
1096 |
Number Of Non Hispanic White Beneficiaries |
1288 |
Number Of Black or African American Beneficiaries |
276 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
1190 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1823 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
980 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1809 |