Medicare Facts for Dr. Baljeet S. Sethi, MD


National Provider Identifier [NPI]: 1316972482
Last Name Of The Provider SETHI
First Name Of The Provider BALJEET
Middle Initial Of The Provider S
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 11350 PEMBROOKE SQ
Street Address 2 Of The Provider SUITE 312
City Of The Provider WALDORF
Zip Code Of The Provider 206034809
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Neurology
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 4644
Number Of Medicare Beneficiaries 191
Total Submitted Charge Amount 835085
Total Medicare Allowed Amount 465948.36
Total Medicare Payment Amount 350444.8
Total Medicare Standardized Payment Amount 351621.83
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 1284
Number Of Medicare Beneficiaries With Drug Services 16
Total Drug Submitted ChargeAmount 7620
Total Drug Medicare AllowedAmount 6611.4
Total Drug Medicare PaymentAmount 5183.22
Total Drug Medicare Standardized Payment Amount 5183.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 52
Number Of Medical Services 3360
Number Of Medicare Beneficiaries With Medical Services 191
Total Medical Submitted Charge Amount 827465
Total Medical Medicare Allowed Amount 459336.96
Total Medical Medicare Payment Amount 345261.58
Total Medical Medicare Standardized Payment Amount 346438.61
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 49
Number Of Beneficiaries Age 65 to 74 88
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 115
Number Of Male Beneficiaries 76
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 101
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 151
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 8
Percent Of With Cancer 6
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 21
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 52
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 23
Average HCC Risk Score Of Beneficiaries 1.4004

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