National Provider Identifier [NPI]: |
1346282225 |
Last Name Of The Provider |
SANDERS |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2120 N MACARTHUR BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
IRVING |
Zip Code Of The Provider |
750612225 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
9058 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
2455757.87 |
Total Medicare Allowed Amount |
647507.42 |
Total Medicare Payment Amount |
488581.43 |
Total Medicare Standardized Payment Amount |
482390.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
4960 |
Number Of Medicare Beneficiaries With Drug Services |
299 |
Total Drug Submitted ChargeAmount |
438971.25 |
Total Drug Medicare AllowedAmount |
126621.99 |
Total Drug Medicare PaymentAmount |
97582.37 |
Total Drug Medicare Standardized Payment Amount |
97582.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
4098 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
2016786.62 |
Total Medical Medicare Allowed Amount |
520885.43 |
Total Medical Medicare Payment Amount |
390999.06 |
Total Medical Medicare Standardized Payment Amount |
384808.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
177 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
431 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
453 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3053 |