National Provider Identifier [NPI]: |
1588875512 |
Last Name Of The Provider |
SAHARAN |
First Name Of The Provider |
SAHDEV |
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 |
2800 N CALIFORNIA ST |
Street Address 2 Of The Provider |
SUITE # 5 |
City Of The Provider |
STOCKTON |
Zip Code Of The Provider |
952043757 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
46127 |
Number Of Medicare Beneficiaries |
554 |
Total Submitted Charge Amount |
878636 |
Total Medicare Allowed Amount |
456055.33 |
Total Medicare Payment Amount |
347239.34 |
Total Medicare Standardized Payment Amount |
341169.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
44137 |
Number Of Medicare Beneficiaries With Drug Services |
198 |
Total Drug Submitted ChargeAmount |
550336 |
Total Drug Medicare AllowedAmount |
273443.24 |
Total Drug Medicare PaymentAmount |
214230.5 |
Total Drug Medicare Standardized Payment Amount |
214230.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
1990 |
Number Of Medicare Beneficiaries With Medical Services |
554 |
Total Medical Submitted Charge Amount |
328300 |
Total Medical Medicare Allowed Amount |
182612.09 |
Total Medical Medicare Payment Amount |
133008.84 |
Total Medical Medicare Standardized Payment Amount |
126939.05 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
264 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
85 |
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3954 |