National Provider Identifier [NPI]: |
1538294996 |
Last Name Of The Provider |
SABET |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
31852 COAST HWY |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
LAGUNA BEACH |
Zip Code Of The Provider |
926516764 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
5040 |
Number Of Medicare Beneficiaries |
1008 |
Total Submitted Charge Amount |
612993 |
Total Medicare Allowed Amount |
397828.85 |
Total Medicare Payment Amount |
296660.15 |
Total Medicare Standardized Payment Amount |
254094.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
505 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
5050 |
Total Drug Medicare AllowedAmount |
2882.62 |
Total Drug Medicare PaymentAmount |
2255.77 |
Total Drug Medicare Standardized Payment Amount |
2255.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
4535 |
Number Of Medicare Beneficiaries With Medical Services |
1008 |
Total Medical Submitted Charge Amount |
607943 |
Total Medical Medicare Allowed Amount |
394946.23 |
Total Medical Medicare Payment Amount |
294404.38 |
Total Medical Medicare Standardized Payment Amount |
251838.68 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
390 |
Number Of Beneficiaries Age 75 to 84 |
315 |
Number Of Beneficiaries Age Greater 84 |
277 |
Number Of Female Beneficiaries |
617 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
919 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
956 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2558 |