Medicare Facts for Dr. Steven J. Sainsbury, MD


National Provider Identifier [NPI]: 1679521256
Last Name Of The Provider SAINSBURY
First Name Of The Provider STEVEN
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1383 ALDER ST
Street Address 2 Of The Provider
City Of The Provider SAN LUIS OBISPO
Zip Code Of The Provider 934017827
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider General Practice
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 3570
Number Of Medicare Beneficiaries 374
Total Submitted Charge Amount 483480
Total Medicare Allowed Amount 443599.13
Total Medicare Payment Amount 325840.39
Total Medicare Standardized Payment Amount 316462.14
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 166
Number Of Medicare Beneficiaries With Drug Services 157
Total Drug Submitted ChargeAmount 6370
Total Drug Medicare AllowedAmount 3100.92
Total Drug Medicare PaymentAmount 3036.9
Total Drug Medicare Standardized Payment Amount 3036.9
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 3404
Number Of Medicare Beneficiaries With Medical Services 374
Total Medical Submitted Charge Amount 477110
Total Medical Medicare Allowed Amount 440498.21
Total Medical Medicare Payment Amount 322803.49
Total Medical Medicare Standardized Payment Amount 313425.24
Average Age Of Beneficiaries 85
Number Of Beneficiaries Age Less65 14
Number Of Beneficiaries Age 65 to 74 40
Number Of Beneficiaries Age 75 to 84 84
Number Of Beneficiaries Age Greater 84 236
Number Of Female Beneficiaries 262
Number Of Male Beneficiaries 112
Number Of Non Hispanic White Beneficiaries 352
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 11
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 334
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 52
Percent Of With Asthma 5
Percent Of With Cancer 8
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 20
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 20
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 66
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.5558

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