Medicare Facts for Dr. Carlos A. Sesin, MD


National Provider Identifier [NPI]: 1659304707
Last Name Of The Provider SESIN
First Name Of The Provider CARLOS
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4302 ALTON RD
Street Address 2 Of The Provider SUITE 550
City Of The Provider MIAMI BEACH
Zip Code Of The Provider 331402891
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 48
Number Of Services 50566
Number Of Medicare Beneficiaries 851
Total Submitted Charge Amount 1255916
Total Medicare Allowed Amount 778940.03
Total Medicare Payment Amount 604329.95
Total Medicare Standardized Payment Amount 585758.39
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 46724
Number Of Medicare Beneficiaries With Drug Services 420
Total Drug Submitted ChargeAmount 699290
Total Drug Medicare AllowedAmount 472985.61
Total Drug Medicare PaymentAmount 370365.78
Total Drug Medicare Standardized Payment Amount 370365.78
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 3842
Number Of Medicare Beneficiaries With Medical Services 851
Total Medical Submitted Charge Amount 556626
Total Medical Medicare Allowed Amount 305954.42
Total Medical Medicare Payment Amount 233964.17
Total Medical Medicare Standardized Payment Amount 215392.61
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 36
Number Of Beneficiaries Age 65 to 74 286
Number Of Beneficiaries Age 75 to 84 346
Number Of Beneficiaries Age Greater 84 183
Number Of Female Beneficiaries 693
Number Of Male Beneficiaries 158
Number Of Non Hispanic White Beneficiaries 559
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 274
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 690
Number Of Beneficiaries With Medicare Medicaid Entitlement 161
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 13
Percent Of With Cancer 12
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 26
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 73
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 53
Percent Of With Osteoporosis 47
Percent Of With Rheumatoid Arthritis Osteoarthritis 67
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.3056

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