National Provider Identifier [NPI]: |
1538334677 |
Last Name Of The Provider |
SABET |
First Name Of The Provider |
HAJEER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14904 JEFFERSON DAVIS HWY |
Street Address 2 Of The Provider |
SUITE #201 |
City Of The Provider |
WOODBRIDGE |
Zip Code Of The Provider |
221913908 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
114 |
Number Of Services |
1851 |
Number Of Medicare Beneficiaries |
265 |
Total Submitted Charge Amount |
740350 |
Total Medicare Allowed Amount |
243132.7 |
Total Medicare Payment Amount |
184874.18 |
Total Medicare Standardized Payment Amount |
177514.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
359 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
42750 |
Total Drug Medicare AllowedAmount |
26823.58 |
Total Drug Medicare PaymentAmount |
20739.86 |
Total Drug Medicare Standardized Payment Amount |
20739.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
1492 |
Number Of Medicare Beneficiaries With Medical Services |
265 |
Total Medical Submitted Charge Amount |
697600 |
Total Medical Medicare Allowed Amount |
216309.12 |
Total Medical Medicare Payment Amount |
164134.32 |
Total Medical Medicare Standardized Payment Amount |
156774.6 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
130 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4264 |