National Provider Identifier [NPI]: |
1073735098 |
Last Name Of The Provider |
SESAY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
217 E 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANNISTON |
Zip Code Of The Provider |
362075725 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
3288 |
Number Of Medicare Beneficiaries |
642 |
Total Submitted Charge Amount |
379350 |
Total Medicare Allowed Amount |
273303.14 |
Total Medicare Payment Amount |
198853.96 |
Total Medicare Standardized Payment Amount |
214967.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
260 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
2618 |
Total Drug Medicare AllowedAmount |
428.71 |
Total Drug Medicare PaymentAmount |
359.54 |
Total Drug Medicare Standardized Payment Amount |
359.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3028 |
Number Of Medicare Beneficiaries With Medical Services |
642 |
Total Medical Submitted Charge Amount |
376732 |
Total Medical Medicare Allowed Amount |
272874.43 |
Total Medical Medicare Payment Amount |
198494.42 |
Total Medical Medicare Standardized Payment Amount |
214608.2 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
305 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
328 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4316 |