| National Provider Identifier [NPI]: | 1629077243 |
| Last Name Of The Provider | SEBBA |
| First Name Of The Provider | ANTHONY |
| Middle Initial Of The Provider | I |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 33920 US HIGHWAY 19 NORTH |
| Street Address 2 Of The Provider | SUITE 241 |
| City Of The Provider | PALM HARBOR |
| Zip Code Of The Provider | 34684 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 49 |
| Number Of Services | 161674 |
| Number Of Medicare Beneficiaries | 911 |
| Total Submitted Charge Amount | 5010880.81 |
| Total Medicare Allowed Amount | 2976560.87 |
| Total Medicare Payment Amount | 2300037.38 |
| Total Medicare Standardized Payment Amount | 2297598.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 19 |
| Number Of Drug Services | 155268 |
| Number Of Medicare Beneficiaries With Drug Services | 520 |
| Total Drug Submitted ChargeAmount | 4025392.81 |
| Total Drug Medicare AllowedAmount | 2458100.98 |
| Total Drug Medicare PaymentAmount | 1912459.75 |
| Total Drug Medicare Standardized Payment Amount | 1912459.75 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 30 |
| Number Of Medical Services | 6406 |
| Number Of Medicare Beneficiaries With Medical Services | 911 |
| Total Medical Submitted Charge Amount | 985488 |
| Total Medical Medicare Allowed Amount | 518459.89 |
| Total Medical Medicare Payment Amount | 387577.63 |
| Total Medical Medicare Standardized Payment Amount | 385138.93 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 84 |
| Number Of Beneficiaries Age 65 to 74 | 347 |
| Number Of Beneficiaries Age 75 to 84 | 328 |
| Number Of Beneficiaries Age Greater 84 | 152 |
| Number Of Female Beneficiaries | 726 |
| Number Of Male Beneficiaries | 185 |
| Number Of Non Hispanic White Beneficiaries | 877 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 879 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 32 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 20 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 56 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 73 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2237 |