National Provider Identifier [NPI]: |
1265648745 |
Last Name Of The Provider |
SAKAI |
First Name Of The Provider |
TOMOYA |
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 |
80 BRIDGE ST |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
DEDHAM |
Zip Code Of The Provider |
020261765 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
9336 |
Number Of Medicare Beneficiaries |
615 |
Total Submitted Charge Amount |
2234850 |
Total Medicare Allowed Amount |
358014.3 |
Total Medicare Payment Amount |
271786.19 |
Total Medicare Standardized Payment Amount |
238772.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6533 |
Number Of Medicare Beneficiaries With Drug Services |
439 |
Total Drug Submitted ChargeAmount |
27133 |
Total Drug Medicare AllowedAmount |
5501.9 |
Total Drug Medicare PaymentAmount |
4283.96 |
Total Drug Medicare Standardized Payment Amount |
4283.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2803 |
Number Of Medicare Beneficiaries With Medical Services |
615 |
Total Medical Submitted Charge Amount |
2207717 |
Total Medical Medicare Allowed Amount |
352512.4 |
Total Medical Medicare Payment Amount |
267502.23 |
Total Medical Medicare Standardized Payment Amount |
234488.36 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
257 |
Number Of Non Hispanic White Beneficiaries |
590 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
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 |
1.113 |