National Provider Identifier [NPI]: |
1881691566 |
Last Name Of The Provider |
SABATELLI |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8650 SPICEWOOD SPRINGS RD |
Street Address 2 Of The Provider |
#145-578 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787594322 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
217 |
Number Of Services |
2309 |
Number Of Medicare Beneficiaries |
1119 |
Total Submitted Charge Amount |
1308995.56 |
Total Medicare Allowed Amount |
302631.76 |
Total Medicare Payment Amount |
233758.72 |
Total Medicare Standardized Payment Amount |
250917.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
279 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
5850 |
Total Drug Medicare AllowedAmount |
1056.62 |
Total Drug Medicare PaymentAmount |
828.97 |
Total Drug Medicare Standardized Payment Amount |
828.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
209 |
Number Of Medical Services |
2030 |
Number Of Medicare Beneficiaries With Medical Services |
1119 |
Total Medical Submitted Charge Amount |
1303145.56 |
Total Medical Medicare Allowed Amount |
301575.14 |
Total Medical Medicare Payment Amount |
232929.75 |
Total Medical Medicare Standardized Payment Amount |
250088.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
347 |
Number Of Beneficiaries Age Greater 84 |
161 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
501 |
Number Of Non Hispanic White Beneficiaries |
893 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
158 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
908 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9399 |