National Provider Identifier [NPI]: |
1659368793 |
Last Name Of The Provider |
SAHINLER |
First Name Of The Provider |
BOLKAR |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3601 21ST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUBBOCK |
Zip Code Of The Provider |
794101229 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
19320 |
Number Of Medicare Beneficiaries |
1124 |
Total Submitted Charge Amount |
3521200.98 |
Total Medicare Allowed Amount |
918506.94 |
Total Medicare Payment Amount |
693090.44 |
Total Medicare Standardized Payment Amount |
714360.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
12841 |
Number Of Medicare Beneficiaries With Drug Services |
649 |
Total Drug Submitted ChargeAmount |
87773 |
Total Drug Medicare AllowedAmount |
18512.34 |
Total Drug Medicare PaymentAmount |
13942.46 |
Total Drug Medicare Standardized Payment Amount |
13942.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
6479 |
Number Of Medicare Beneficiaries With Medical Services |
1124 |
Total Medical Submitted Charge Amount |
3433427.98 |
Total Medical Medicare Allowed Amount |
899994.6 |
Total Medical Medicare Payment Amount |
679147.98 |
Total Medical Medicare Standardized Payment Amount |
700418.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
749 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
961 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
129 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
977 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2735 |