National Provider Identifier [NPI]: |
1962488080 |
Last Name Of The Provider |
SINEWAY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
631 PROFESSIONAL DR |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
LAWRENCEVILLE |
Zip Code Of The Provider |
300463367 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
8195 |
Number Of Medicare Beneficiaries |
1048 |
Total Submitted Charge Amount |
625349.97 |
Total Medicare Allowed Amount |
430778.26 |
Total Medicare Payment Amount |
323633.12 |
Total Medicare Standardized Payment Amount |
324347.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3452 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
5371.25 |
Total Drug Medicare AllowedAmount |
3759.04 |
Total Drug Medicare PaymentAmount |
3545.33 |
Total Drug Medicare Standardized Payment Amount |
3545.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4743 |
Number Of Medicare Beneficiaries With Medical Services |
1048 |
Total Medical Submitted Charge Amount |
619978.72 |
Total Medical Medicare Allowed Amount |
427019.22 |
Total Medical Medicare Payment Amount |
320087.79 |
Total Medical Medicare Standardized Payment Amount |
320802.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
363 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
621 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
43 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
41 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
70 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2849 |