National Provider Identifier [NPI]: |
1285632356 |
Last Name Of The Provider |
SABATES |
First Name Of The Provider |
NELSON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4321 WASHINGTON ST |
Street Address 2 Of The Provider |
STE. 2100 |
City Of The Provider |
KANSAS CITY |
Zip Code Of The Provider |
641115961 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
6697 |
Number Of Medicare Beneficiaries |
2139 |
Total Submitted Charge Amount |
2119389 |
Total Medicare Allowed Amount |
1105130.55 |
Total Medicare Payment Amount |
814437.86 |
Total Medicare Standardized Payment Amount |
851422.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
674 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
525964 |
Total Drug Medicare AllowedAmount |
300692.31 |
Total Drug Medicare PaymentAmount |
234174.17 |
Total Drug Medicare Standardized Payment Amount |
234174.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
6023 |
Number Of Medicare Beneficiaries With Medical Services |
2139 |
Total Medical Submitted Charge Amount |
1593425 |
Total Medical Medicare Allowed Amount |
804438.24 |
Total Medical Medicare Payment Amount |
580263.69 |
Total Medical Medicare Standardized Payment Amount |
617248.49 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
759 |
Number Of Beneficiaries Age 75 to 84 |
832 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
1306 |
Number Of Male Beneficiaries |
833 |
Number Of Non Hispanic White Beneficiaries |
1951 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
2059 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.057 |