National Provider Identifier [NPI]: |
1427171321 |
Last Name Of The Provider |
DARDA |
First Name Of The Provider |
SABA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
37771 SCHOENHERR RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
STERLING HTS |
Zip Code Of The Provider |
483122302 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6270 |
Number Of Medicare Beneficiaries |
2450 |
Total Submitted Charge Amount |
849701 |
Total Medicare Allowed Amount |
476713.07 |
Total Medicare Payment Amount |
367575.05 |
Total Medicare Standardized Payment Amount |
361188.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
850 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
23270 |
Total Drug Medicare AllowedAmount |
20391.42 |
Total Drug Medicare PaymentAmount |
15842.04 |
Total Drug Medicare Standardized Payment Amount |
15842.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5420 |
Number Of Medicare Beneficiaries With Medical Services |
2450 |
Total Medical Submitted Charge Amount |
826431 |
Total Medical Medicare Allowed Amount |
456321.65 |
Total Medical Medicare Payment Amount |
351733.01 |
Total Medical Medicare Standardized Payment Amount |
345346.76 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
421 |
Number Of Beneficiaries Age 65 to 74 |
788 |
Number Of Beneficiaries Age 75 to 84 |
732 |
Number Of Beneficiaries Age Greater 84 |
509 |
Number Of Female Beneficiaries |
1328 |
Number Of Male Beneficiaries |
1122 |
Number Of Non Hispanic White Beneficiaries |
1621 |
Number Of Black or African American Beneficiaries |
744 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
743 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
42 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3957 |