National Provider Identifier [NPI]: |
1487781175 |
Last Name Of The Provider |
SEETHARAM |
First Name Of The Provider |
MAHESH |
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 |
10460 N 92ND ST |
Street Address 2 Of The Provider |
STE. #400 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852584549 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
152 |
Number Of Services |
101342 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
4947193 |
Total Medicare Allowed Amount |
1347867.01 |
Total Medicare Payment Amount |
1054409.8 |
Total Medicare Standardized Payment Amount |
1051653.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
82 |
Number Of Drug Services |
95528 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
4097787 |
Total Drug Medicare AllowedAmount |
1075788.54 |
Total Drug Medicare PaymentAmount |
841935.99 |
Total Drug Medicare Standardized Payment Amount |
841935.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5814 |
Number Of Medicare Beneficiaries With Medical Services |
574 |
Total Medical Submitted Charge Amount |
849406 |
Total Medical Medicare Allowed Amount |
272078.47 |
Total Medical Medicare Payment Amount |
212473.81 |
Total Medical Medicare Standardized Payment Amount |
209717.31 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
464 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
485 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.1939 |