National Provider Identifier [NPI]: |
1326245960 |
Last Name Of The Provider |
SAGINI |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7331 COLLEGE PKWY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339075524 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
209 |
Number Of Services |
12126 |
Number Of Medicare Beneficiaries |
1001 |
Total Submitted Charge Amount |
1100684.3 |
Total Medicare Allowed Amount |
852022.52 |
Total Medicare Payment Amount |
649706.35 |
Total Medicare Standardized Payment Amount |
618414.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2303 |
Number Of Medicare Beneficiaries With Drug Services |
591 |
Total Drug Submitted ChargeAmount |
52355.4 |
Total Drug Medicare AllowedAmount |
50167.93 |
Total Drug Medicare PaymentAmount |
39285.6 |
Total Drug Medicare Standardized Payment Amount |
39285.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
207 |
Number Of Medical Services |
9823 |
Number Of Medicare Beneficiaries With Medical Services |
1001 |
Total Medical Submitted Charge Amount |
1048328.9 |
Total Medical Medicare Allowed Amount |
801854.59 |
Total Medical Medicare Payment Amount |
610420.75 |
Total Medical Medicare Standardized Payment Amount |
579128.51 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
498 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
571 |
Number Of Male Beneficiaries |
430 |
Number Of Non Hispanic White Beneficiaries |
931 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
944 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0356 |