Medicare Facts for Dr. Rahul Sehgal, MD


National Provider Identifier [NPI]: 1508014218
Last Name Of The Provider SEHGAL
First Name Of The Provider RAHUL
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 1000 N OAK AVE
Street Address 2 Of The Provider
City Of The Provider MARSHFIELD
Zip Code Of The Provider 544495703
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 72
Number Of Services 9445
Number Of Medicare Beneficiaries 266
Total Submitted Charge Amount 585488.4
Total Medicare Allowed Amount 278292.83
Total Medicare Payment Amount 201434.71
Total Medicare Standardized Payment Amount 204405.32
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 27
Number Of Drug Services 8438
Number Of Medicare Beneficiaries With Drug Services 137
Total Drug Submitted ChargeAmount 365992.58
Total Drug Medicare AllowedAmount 213627.95
Total Drug Medicare PaymentAmount 155514.28
Total Drug Medicare Standardized Payment Amount 155514.28
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 45
Number Of Medical Services 1007
Number Of Medicare Beneficiaries With Medical Services 265
Total Medical Submitted Charge Amount 219495.82
Total Medical Medicare Allowed Amount 64664.88
Total Medical Medicare Payment Amount 45920.43
Total Medical Medicare Standardized Payment Amount 48891.04
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 60
Number Of Beneficiaries Age 65 to 74 105
Number Of Beneficiaries Age 75 to 84 76
Number Of Beneficiaries Age Greater 84 25
Number Of Female Beneficiaries 184
Number Of Male Beneficiaries 82
Number Of Non Hispanic White Beneficiaries
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 189
Number Of Beneficiaries With Medicare Medicaid Entitlement 77
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 30
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 24
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 20
Percent Of With Rheumatoid Arthritis Osteoarthritis 71
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.6103

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