National Provider Identifier [NPI]: |
1356311963 |
Last Name Of The Provider |
SITTO |
First Name Of The Provider |
EMIL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
37538 DEQUINDRE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
STERLING HEIGHTS |
Zip Code Of The Provider |
483103511 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
7959 |
Number Of Medicare Beneficiaries |
796 |
Total Submitted Charge Amount |
566063 |
Total Medicare Allowed Amount |
384301.29 |
Total Medicare Payment Amount |
280074.73 |
Total Medicare Standardized Payment Amount |
271904 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
954 |
Number Of Medicare Beneficiaries With Drug Services |
424 |
Total Drug Submitted ChargeAmount |
14860 |
Total Drug Medicare AllowedAmount |
6598.67 |
Total Drug Medicare PaymentAmount |
6329.39 |
Total Drug Medicare Standardized Payment Amount |
6329.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7005 |
Number Of Medicare Beneficiaries With Medical Services |
796 |
Total Medical Submitted Charge Amount |
551203 |
Total Medical Medicare Allowed Amount |
377702.62 |
Total Medical Medicare Payment Amount |
273745.34 |
Total Medical Medicare Standardized Payment Amount |
265574.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
594 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
82 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
106 |
Number Of Beneficiaries With Medicare Only Entitlement |
281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
515 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2975 |