National Provider Identifier [NPI]: |
1538388913 |
Last Name Of The Provider |
SACHT |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 N ARLINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895034723 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
160 |
Number Of Medicare Beneficiaries |
118 |
Total Submitted Charge Amount |
31961 |
Total Medicare Allowed Amount |
10859.21 |
Total Medicare Payment Amount |
7677.64 |
Total Medicare Standardized Payment Amount |
8894.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
345 |
Total Drug Medicare AllowedAmount |
114.7 |
Total Drug Medicare PaymentAmount |
107.89 |
Total Drug Medicare Standardized Payment Amount |
107.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
142 |
Number Of Medicare Beneficiaries With Medical Services |
118 |
Total Medical Submitted Charge Amount |
31616 |
Total Medical Medicare Allowed Amount |
10744.51 |
Total Medical Medicare Payment Amount |
7569.75 |
Total Medical Medicare Standardized Payment Amount |
8786.85 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
72 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
15 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8152 |