National Provider Identifier [NPI]: |
1326255712 |
Last Name Of The Provider |
SARDI |
First Name Of The Provider |
GABRIEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 FEDERAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEAFORD |
Zip Code Of The Provider |
199735764 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
3282 |
Number Of Medicare Beneficiaries |
963 |
Total Submitted Charge Amount |
529915 |
Total Medicare Allowed Amount |
255384.68 |
Total Medicare Payment Amount |
197764.28 |
Total Medicare Standardized Payment Amount |
196211.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
2745 |
Total Drug Medicare AllowedAmount |
98.95 |
Total Drug Medicare PaymentAmount |
77.54 |
Total Drug Medicare Standardized Payment Amount |
77.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
3183 |
Number Of Medicare Beneficiaries With Medical Services |
963 |
Total Medical Submitted Charge Amount |
527170 |
Total Medical Medicare Allowed Amount |
255285.73 |
Total Medical Medicare Payment Amount |
197686.74 |
Total Medical Medicare Standardized Payment Amount |
196134.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
506 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
798 |
Number Of Black or African American Beneficiaries |
142 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9823 |