National Provider Identifier [NPI]: |
1003966359 |
Last Name Of The Provider |
SAH |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
38690 STIVERS ST STE A |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREMONT |
Zip Code Of The Provider |
945365336 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
5481 |
Number Of Medicare Beneficiaries |
966 |
Total Submitted Charge Amount |
3506302 |
Total Medicare Allowed Amount |
679087.91 |
Total Medicare Payment Amount |
517422.58 |
Total Medicare Standardized Payment Amount |
467557.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
3720 |
Total Drug Medicare AllowedAmount |
3268.3 |
Total Drug Medicare PaymentAmount |
2551.29 |
Total Drug Medicare Standardized Payment Amount |
2551.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
5097 |
Number Of Medicare Beneficiaries With Medical Services |
966 |
Total Medical Submitted Charge Amount |
3502582 |
Total Medical Medicare Allowed Amount |
675819.61 |
Total Medical Medicare Payment Amount |
514871.29 |
Total Medical Medicare Standardized Payment Amount |
465006.15 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
454 |
Number Of Beneficiaries Age 75 to 84 |
389 |
Number Of Beneficiaries Age Greater 84 |
94 |
Number Of Female Beneficiaries |
623 |
Number Of Male Beneficiaries |
343 |
Number Of Non Hispanic White Beneficiaries |
797 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
79 |
Number Of Hispanic Beneficiaries |
48 |
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 |
910 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9032 |