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 |