National Provider Identifier [NPI]: |
1811983141 |
Last Name Of The Provider |
SAALFIELD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7200 STATE HIGHWAY 161 |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750392804 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
10279 |
Number Of Medicare Beneficiaries |
797 |
Total Submitted Charge Amount |
504267 |
Total Medicare Allowed Amount |
210076.25 |
Total Medicare Payment Amount |
157019.29 |
Total Medicare Standardized Payment Amount |
158122.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
7171 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
89968 |
Total Drug Medicare AllowedAmount |
24435.39 |
Total Drug Medicare PaymentAmount |
19063.27 |
Total Drug Medicare Standardized Payment Amount |
19063.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3108 |
Number Of Medicare Beneficiaries With Medical Services |
797 |
Total Medical Submitted Charge Amount |
414299 |
Total Medical Medicare Allowed Amount |
185640.86 |
Total Medical Medicare Payment Amount |
137956.02 |
Total Medical Medicare Standardized Payment Amount |
139059.26 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
608 |
Number Of Non Hispanic White Beneficiaries |
689 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1467 |