National Provider Identifier [NPI]: |
1124010913 |
Last Name Of The Provider |
SAGGAU |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6200 WESTOWN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST DES MOINES |
Zip Code Of The Provider |
502667705 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
31450 |
Number Of Medicare Beneficiaries |
2074 |
Total Submitted Charge Amount |
15545225 |
Total Medicare Allowed Amount |
9408885.42 |
Total Medicare Payment Amount |
7291594.86 |
Total Medicare Standardized Payment Amount |
7368913.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
13723 |
Number Of Medicare Beneficiaries With Drug Services |
880 |
Total Drug Submitted ChargeAmount |
10433742 |
Total Drug Medicare AllowedAmount |
8095196.85 |
Total Drug Medicare PaymentAmount |
6333904.24 |
Total Drug Medicare Standardized Payment Amount |
6333904.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
17727 |
Number Of Medicare Beneficiaries With Medical Services |
2073 |
Total Medical Submitted Charge Amount |
5111483 |
Total Medical Medicare Allowed Amount |
1313688.57 |
Total Medical Medicare Payment Amount |
957690.62 |
Total Medical Medicare Standardized Payment Amount |
1035009.61 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
509 |
Number Of Beneficiaries Age 75 to 84 |
720 |
Number Of Beneficiaries Age Greater 84 |
758 |
Number Of Female Beneficiaries |
1304 |
Number Of Male Beneficiaries |
770 |
Number Of Non Hispanic White Beneficiaries |
2019 |
Number Of Black or African American Beneficiaries |
18 |
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 |
1873 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3315 |