National Provider Identifier [NPI]: |
1205809951 |
Last Name Of The Provider |
SARIN |
First Name Of The Provider |
LOV |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4060 BUTLER PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PLYMOUTH MEETING |
Zip Code Of The Provider |
194621560 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
4171 |
Number Of Medicare Beneficiaries |
485 |
Total Submitted Charge Amount |
1936978 |
Total Medicare Allowed Amount |
826210.85 |
Total Medicare Payment Amount |
636478.48 |
Total Medicare Standardized Payment Amount |
626489.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1481 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
1377538 |
Total Drug Medicare AllowedAmount |
601826.39 |
Total Drug Medicare PaymentAmount |
471805.36 |
Total Drug Medicare Standardized Payment Amount |
471805.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
2690 |
Number Of Medicare Beneficiaries With Medical Services |
485 |
Total Medical Submitted Charge Amount |
559440 |
Total Medical Medicare Allowed Amount |
224384.46 |
Total Medical Medicare Payment Amount |
164673.12 |
Total Medical Medicare Standardized Payment Amount |
154683.83 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
303 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
417 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
11 |
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 |
460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3594 |