National Provider Identifier [NPI]: |
1568505378 |
Last Name Of The Provider |
SAHU |
First Name Of The Provider |
SATYA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2479 VISTA WOOD CIR 17 |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOUSAND OAKS |
Zip Code Of The Provider |
913625753 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
5764 |
Number Of Medicare Beneficiaries |
1879 |
Total Submitted Charge Amount |
1367944.9 |
Total Medicare Allowed Amount |
210116.72 |
Total Medicare Payment Amount |
154910.67 |
Total Medicare Standardized Payment Amount |
139835.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2402 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
19568.48 |
Total Drug Medicare AllowedAmount |
1155.26 |
Total Drug Medicare PaymentAmount |
905.71 |
Total Drug Medicare Standardized Payment Amount |
905.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
3362 |
Number Of Medicare Beneficiaries With Medical Services |
1879 |
Total Medical Submitted Charge Amount |
1348376.42 |
Total Medical Medicare Allowed Amount |
208961.46 |
Total Medical Medicare Payment Amount |
154004.96 |
Total Medical Medicare Standardized Payment Amount |
138930.15 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
492 |
Number Of Beneficiaries Age 65 to 74 |
764 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
1169 |
Number Of Male Beneficiaries |
710 |
Number Of Non Hispanic White Beneficiaries |
1246 |
Number Of Black or African American Beneficiaries |
248 |
Number Of AsianPacific Islander Beneficiaries |
52 |
Number Of Hispanic Beneficiaries |
302 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
767 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4114 |