Medicare Facts for Dr. Anil U. Sheth, MD


National Provider Identifier [NPI]: 1790755288
Last Name Of The Provider SHETH
First Name Of The Provider ANIL
Middle Initial Of The Provider U
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 915 GESSNER RD
Street Address 2 Of The Provider #360
City Of The Provider HOUSTON
Zip Code Of The Provider 770242527
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 5357
Number Of Medicare Beneficiaries 820
Total Submitted Charge Amount 685488.7
Total Medicare Allowed Amount 405975.8
Total Medicare Payment Amount 305473.01
Total Medicare Standardized Payment Amount 284467
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1687
Number Of Medicare Beneficiaries With Drug Services 49
Total Drug Submitted ChargeAmount 16962.5
Total Drug Medicare AllowedAmount 6608.54
Total Drug Medicare PaymentAmount 4969.42
Total Drug Medicare Standardized Payment Amount 4969.42
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 23
Number Of Medical Services 3670
Number Of Medicare Beneficiaries With Medical Services 820
Total Medical Submitted Charge Amount 668526.2
Total Medical Medicare Allowed Amount 399367.26
Total Medical Medicare Payment Amount 300503.59
Total Medical Medicare Standardized Payment Amount 279497.58
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 103
Number Of Beneficiaries Age 65 to 74 249
Number Of Beneficiaries Age 75 to 84 294
Number Of Beneficiaries Age Greater 84 174
Number Of Female Beneficiaries 410
Number Of Male Beneficiaries 410
Number Of Non Hispanic White Beneficiaries 596
Number Of Black or African American Beneficiaries 87
Number Of AsianPacific Islander Beneficiaries 46
Number Of Hispanic Beneficiaries 76
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 699
Number Of Beneficiaries With Medicare Medicaid Entitlement 121
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma 10
Percent Of With Cancer 10
Percent Of With Heart Failure 38
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 19
Percent Of With Diabetes 53
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 54
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 3.0951

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