National Provider Identifier [NPI]: |
1689671034 |
Last Name Of The Provider |
SEHGAL |
First Name Of The Provider |
KISHORE |
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 |
301 N SAN JACINTO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HEMET |
Zip Code Of The Provider |
925433113 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
265652 |
Number Of Medicare Beneficiaries |
937 |
Total Submitted Charge Amount |
5803272.05 |
Total Medicare Allowed Amount |
4258185.36 |
Total Medicare Payment Amount |
3334694.33 |
Total Medicare Standardized Payment Amount |
3306570.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
87 |
Number Of Drug Services |
253954 |
Number Of Medicare Beneficiaries With Drug Services |
407 |
Total Drug Submitted ChargeAmount |
5271823.31 |
Total Drug Medicare AllowedAmount |
3735769.5 |
Total Drug Medicare PaymentAmount |
2927148.14 |
Total Drug Medicare Standardized Payment Amount |
2927148.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
11698 |
Number Of Medicare Beneficiaries With Medical Services |
937 |
Total Medical Submitted Charge Amount |
531448.74 |
Total Medical Medicare Allowed Amount |
522415.86 |
Total Medical Medicare Payment Amount |
407546.19 |
Total Medical Medicare Standardized Payment Amount |
379422.29 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
581 |
Number Of Male Beneficiaries |
356 |
Number Of Non Hispanic White Beneficiaries |
737 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
117 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
729 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
46 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
2.0017 |